Organization Active NPI

First Care Rehab

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1982888459
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9057 Issued in TX
Legal business name
FIRST CARE REHAB
Practice address
11317 N Central Expy
Dallas, TX 75243-6703
Phone
(214) 335-5870
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dave Bonfesuto, DC
Title
Owner
Phone
(214) 335-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9057 TX Primary

Addresses

Primary practice location

11317 N Central Expy
Dallas, TX 75243-6703

Mailing address

PO Box 9
Frisco, TX 75034-0001
Phone (214) 335-5870

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherBCBS

National Provider Directory

National Provider Directory

Locations

11317 N Central Expy
Dallas, TX 75243
Phone (214) 363-2289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1982888459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340001",
            "telephone_number": "214-335-5870",
            "fax_number": "972-559-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436703",
            "telephone_number": "214-335-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BONFESUTO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-335-5870",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "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 Dec 19, 2007; 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.