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EASTSIDE CHIROPRACTIC, PC
NPI 1922163039
Chiropractor in Fort Worth, TX

Active since December 27, 2006
3117 HANDLEY DR, FORT WORTH, TX 76112(817) 457-4441(817) 457-4467 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastside Chiropractic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE CHIROPRACTIC, PC (NPI 1922163039) is a healthcare organization registered as a chiropractor in Fort Worth, Texas and active in the NPI registry since December 2006. The organization lists Dazzle B Shrestha, Owner, as its authorized official.

NPPES Registry Identity

NPI1922163039
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEASTSIDE CHIROPRACTIC, PC
Location Address3117 HANDLEY DRFort Worth, TX 76112-7012
Mailing Address3117 Handley DrFort Worth, TX 76112-7012 · (817) 457-4441 · Fax (817) 457-4467
Phone(817) 457-4441
Fax(817) 457-4467
Organization SubpartNo
Authorized OfficialDazzle B ShresthaOwner · (817) 457-4441
Enumeration DateDecember 27, 2006
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1922163039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 5482
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3117 HANDLEY DR, Fort Worth, TX 76112
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Other Identifiers 3

Medicare PIN00367RTX
Medicaid1747230TX
Medicare UPINU44753

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastside Chiropractic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dazzle Shrestha, D.C
Chiropractic
NPI 1164602520
813 W MAGNOLIA AVE
Fort Worth, TX 76104
(817) 924-1444
6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Chiropractic, PC's NPI number?

The NPI number for Eastside Chiropractic, PC is 1922163039. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Eastside Chiropractic, PC located?

Eastside Chiropractic, PC is located at 3117 Handley Dr, Fort Worth, TX 76112. The listed phone number is (817) 457-4441.

What is Eastside Chiropractic, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eastside Chiropractic, PC enrolled in Medicare?

Yes. Eastside Chiropractic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eastside Chiropractic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastside Chiropractic, PC was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.