Organization Active NPI

Adcock Chiropractic PLLC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1003350893
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADCOCK CHIROPRACTIC PLLC
Practice address
5524 Old Jacksonville Hwy
Tyler, TX 75703-3378
Phone
(903) 949-4996
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
William Chad Adcock, DC
Title
Owner
Phone
(903) 574-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5524 Old Jacksonville Hwy
Tyler, TX 75703-3378

Mailing address

5524 Old Jacksonville Hwy
Tyler, TX 75703-3378
Phone (903) 949-4996

Other names 1

  • Life Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5524 Old Jacksonville Hwy
Tyler, TX 75703
Phone (903) 574-4440

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1003350893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033378",
            "telephone_number": "903-949-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033378",
            "telephone_number": "903-949-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADCOCK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-574-4440",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.