DR. PRESTEN EARL WITHERSPOON (D.C.) – Chiropractor, NPI 1356441075

DR. PRESTEN EARL WITHERSPOON (D.C.) is a healthcare provider. based in Cedar hill, Texas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 3769 (OR). The NPI Number for DR. PRESTEN EARL WITHERSPOON (D.C.) is 1356441075

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRESTEN EARL WITHERSPOON (D.C.)
NPI
1356441075
Phone
(503) 400-0341
Address
917 E WINTERGREEN RD
Enumeration Date
23 September 2006
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175923664
Graduation Year
2005 (21 years ago)
PAC ID
5092858118
Group Practice PAC ID
5799159430
Professional Enrollment ID
I20121210000236
Address ID
TX760633346MA701XXLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,110 CHIROPRACTIC in TX

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Provider Addresses for DR. PRESTEN EARL WITHERSPOON (D.C.)

  • 917, East Wintergreen Road, Cedar Hill, Dallas County, Texas, 75104, United States

    CEDAR HILL, TX 751041409

    Phone: (503) 400-0341

    Type: Mailing

  • 1415, Shields Avenue, Cedar Hill, Dallas County, Texas, 75104, United States

    CEDAR HILL, TX 751041418

    Phone: (972) 460-6349

    Type: Location

  • PO BOX 1121

    MIDLOTHIAN, TX 760651121

    Phone: (469) 297-8053

    Type: Mailing

  • 701 E DEBBIE LN STE 113

    MANSFIELD, TX 760633346

    Phone: (817) 592-3664

    Fax: (817) 592-3904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121210000236IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799159430View full group profile
NameSpecialtyState
C H I R O P R A C T I CMD

Reviews

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Frequently asked questions

What is the standard ID for DR. PRESTEN EARL WITHERSPOON (D.C.) in the U.S.?
In the U.S., DR. PRESTEN EARL WITHERSPOON (D.C.) is identified by NPI 1356441075.
Is DR. PRESTEN EARL WITHERSPOON (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists DR. PRESTEN EARL WITHERSPOON (D.C.) as active.
How should patients interpret DR. PRESTEN EARL WITHERSPOON (D.C.)'s specialty?
The extract shows Chiropractor for DR. PRESTEN EARL WITHERSPOON (D.C.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PRESTEN EARL WITHERSPOON (D.C.)?
DR. PRESTEN EARL WITHERSPOON (D.C.) shows a connection to Cedar Hill, Texas in registry-derived data.
Who maintains DR. PRESTEN EARL WITHERSPOON (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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