Individual provider Active NPI

Pamela S Eckmann, D.C.

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1851307516
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8036 Issued in TX
Practice address
1009 Glade Rd
Suite B
Colleyville, TX 76034-2806
Phone
(817) 427-2777
Fax
(817) 427-3268
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8036 TX Primary

Addresses

Primary practice location

1009 Glade Rd
Suite B
Colleyville, TX 76034-2806

Mailing address

748 Toni Dr
Hurst, TX 76054-2332
Phone (817) 581-1877

Other identifiers 1

IdentifierTypeStateIssuer
752829744OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8036TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1851307516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 TONI DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542332",
            "telephone_number": "817-581-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GLADE RD",
            "address_2": "SUITE B",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342806",
            "telephone_number": "817-427-2777",
            "fax_number": "817-427-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMANN",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752829744",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.