DR. TIMOTHY E ODOM (NPI# 1952320756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952320756 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY E ODOM |
| Credential | D. C. |
| Practice Address |
5521 Bellaire Dr S Ste. 100 Fort Worth TX 76109-8838 |
| Practice Telephone | 8177234441 |
| Practice Fax Number | 8177322472 |
| Mailing Telephone | 8177234441 |
| Mailing Fax Number | 8177322472 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
DC5994 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2306040318 | 05 |
| Street Address |
5521 BELLAIRE DR S STE. 100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-8838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194104505 | Jamison Pediatric Dentistry Pllc | Dentist | 5521 Bellaire Dr S, Suite 210, Fort Worth, TX 76109-8838 | 2015-05-19 |
| 1346566999 | Linda Bernstein Md Pa | Obstetrics & Gynecology | 5521 Bellaire Dr S, Suite 110, Fort Worth, TX 76109-8838 | 2010-04-07 |
| 1366765216 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5521 Bellaire Dr S, Suite 116, Fort Worth, TX 76109-8838 | 2010-03-08 |
| 1578710398 | Altieri Dental,pc | Dentist | 5521 Bellaire Dr S, Suite202, Fort Worth, TX 76109-8838 | 2008-08-22 |
| 1003967068 | Kevin M Altieri | Dentist | 5521 Bellaire Dr S, Suite202, Fort Worth, TX 76109-8838 | 2007-01-16 |
| 1508956665 | Karl H. Williams | Chiropractor | 5521 Bellaire Dr S, Fort Worth, TX 76109-8838 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231715 | Bronson Clinic, Inc. | Chiropractor | 5521 Bellaire Dr S Ste 100, Fort Worth, TX 76109-5855 | 2007-06-11 |
| 1134142029 | Melanie Battle Kinchen | Chiropractor | 3900 N Tarrant Pkwy Ste 104, Fort Worth, TX 76244-5412 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356734149 | Randall Halbert | Chiropractor | 5514 N Ossineke Dr, Spring, TX 77386-3798 | 2015-03-18 |
| 1629414545 | Joel F Bacon | Chiropractor | 1800 Veterans Blvd, Suite B, Del Rio, TX 78840-3577 | 2013-05-19 |
| 1215279690 | Apollo Rcm LLC | Chiropractor | 23745 Ponderosa Dr, New Caney, TX 77357 | 2013-03-22 |
| 1134491368 | Steven Lawrence Kleinfield | Chiropractor | 4560 Crown Ridge Dr, Plano, TX 75024-5219 | 2012-02-03 |
| 1063658698 | Mandy De Ann Boyce | Chiropractor | 1001 E Moore Ave, Suite C, Terrell, TX 75160-3223 | 2009-01-03 |
| 1437316627 | Dax Physical Medicine P C | Chiropractor | 400 W Hwy 77, San Benito, TX 78586-5148 | 2008-05-16 |
| 1497927149 | Handley Chiropractic Center, P.C. | Chiropractor | 6005 Rittiman Plz, San Antonio, TX 78218-5216 | 2008-04-01 |
| 1235315144 | Barbara Anne Rahman | Chiropractor | 571 W Pioneer Pkwy, Grand Prairie, TX 75051-4852 | 2008-01-10 |
| 1417166992 | Greens Bayou Chiropractic Clinic PC | Chiropractor | 12655 Woodforest Blvd Ste 200, Houston, TX 77015-3574 | 2007-05-22 |
| 1932321775 | Jeff Manley Dc PC | Chiropractor | 2501 E Mayfield Rd, Suite 123, Arlington, TX 76014-2807 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.