James Matthew Dreadfulwater, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11598 Issued in TX

Practice address

2140 Hall Johnson Rd Ste 115
Grapevine, TX 76051-8754

Phone

(817) 421-4775

Fax

(817) 421-4303

NPI assigned

Nov 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Matt Dreadfulwater Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1942501754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 HALL JOHNSON RD STE 115",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518754",
            "telephone_number": "817-421-4775",
            "fax_number": "817-421-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 HALL JOHNSON RD STE 115",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518754",
            "telephone_number": "817-421-4775",
            "fax_number": "817-421-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREADFULWATER",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "DREADFULWATER",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dr. Mark Zebrowski OD, PA
• Dena Ann Dries, PSYD
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• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.