Individual provider Active NPI

Colby King, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1831724533
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14124 Issued in TX
Practice address
9453 N Beach St
Fort Worth, TX 76244-9059
Phone
(817) 431-5100
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14124 TX Primary

Addresses

Primary practice location

9453 N Beach St
Fort Worth, TX 76244-9059

Mailing address

9453 N Beach St
Fort Worth, TX 76244-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518000645 TX Practitioner - Chiropractic 2163853631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2772 Stonebrook Pkwy
Suite 900
Frisco, TX 75034-1579
Phone (469) 777-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14124TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaikoa LLC Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Freeform Wellness PLLC CurrentSince Mar 9, 2020 Accepting new patients
Kingcolby PLLC CurrentSince Jan 26, 2022 Accepting new patients
Freeform Chiropractic Trophy Club LLC Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Freeformprosper PLLC Chiropractor CurrentSince Oct 25, 2025 Accepting new patients

Locations

9453 N Beach St
Fort Worth, TX 76244
Phone (817) 372-0937

2772 Stonebrook Pkwy
Ste 900
Frisco, TX 75034
Phone (469) 777-4533

2350 E Prosper Trl
Ste 20
Prosper, TX 75078
Phone (469) 391-8917

2240 E Highway 114
Ste 660
Trophy Club, TX 76262
Phone 239970248412

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1831724533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9453 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "COLBY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.

Verify at the official NPI Registry.