Active NPI
Timothy David Payne, D.C.
- Chiropractor
- Rockwall, TX
National Provider Identifier
1962668723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10933
- Practice address
- 1141 Ridge Rd
Ste a
Rockwall, TX 75087-4217 - Phone
- (972) 771-9844
- Fax
- (972) 771-4674
- NPI assigned
- Jul 31, 2008
- Last updated
- Sep 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10933 | TX | Primary |
Addresses
Primary practice location
1141 Ridge Rd
Ste a
Rockwall, TX 75087-4217
Mailing address
1141 Ridge Rd
Ste a
Rockwall, TX 75087-4217
Phone (972) 771-9844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1141 Ridge Rd
Suite a
Rockwall, TX 75087-4217
Phone (972) 771-9844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10933 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Payne Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Rockwall Physical Medicine PLLC | Chiropractor | Current | Accepting new patients |
Locations
1141 Ridge Rd
Ste A
Rockwall, TX 75087
Phone (972) 771-9844
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1962668723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 RIDGE RD",
"address_2": "STE A",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874217",
"telephone_number": "972-771-9844",
"fax_number": "972-771-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 RIDGE RD",
"address_2": "STE A",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874217",
"telephone_number": "972-771-9844",
"fax_number": "972-771-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "TIMOTHY",
"middle_name": "DAVID",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.