Active NPI
David Rosenthal, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1831115666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10053
- Practice address
- 3530 Forest LN
Suite 290
Dallas, TX 75234-7910 - Phone
- (972) 322-2280
- Fax
- (972) 733-3112
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10053 | TX | Primary |
| Chiropractor | 111N00000X | CH 2276 | MA | |
| Chiropractor | 111N00000X | X009109-1 | NY |
Addresses
Primary practice location
3530 Forest LN
Suite 290
Dallas, TX 75234-7910
Mailing address
19251 Preston Rd
#505
Dallas, TX 75252-8552
Phone (972) 322-2280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36980 | Other | MA | BLUE CROSS/ BLUE SHIELDMA |
| 608210 | Other | TX | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130426000160 | TX | Practitioner - Chiropractic | 6305857988 | Practice locations: Carrollton, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2418 Marsh LN
Suite 102
Carrollton, TX 75006-3343
Phone (972) 322-2280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 2276 | MA | MD | Chiropractor |
| X009109-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Rosenthal, DC, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Dallas, TX
- NPI 1326566167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831115666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19251 PRESTON RD",
"address_2": "#505",
"city": "DALLAS",
"state": "TX",
"postal_code": "752528552",
"telephone_number": "972-322-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 FOREST LN",
"address_2": "SUITE 290",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347910",
"telephone_number": "972-322-2280",
"fax_number": "972-733-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10053",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CH 2276",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009109-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELDMA",
"identifier": "Y36980",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "608210",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.