Provider Demographics
NPI:1386932275
Name:SILVERMAN, DAVID PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 TRUMAN ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-3545
Mailing Address - Country:US
Mailing Address - Phone:404-625-9065
Mailing Address - Fax:
Practice Address - Street 1:620 TRUMAN ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-3545
Practice Address - Country:US
Practice Address - Phone:404-625-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008841111NS0005X
NM1951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52568715OtherPCP ID
12269906OtherCAQH
12269906OtherCAQH
12269906OtherCAQH