Organization Active NPI

Spring Valley Massage & Wellness Center,

  • Chiropractor
  • Plano, TX
National Provider Identifier
1003928490
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F007130 Issued in TX
Legal business name
SPRING VALLEY MASSAGE & WELLNESS CENTER,
Practice address
305 W Spring Creek Pkwy
Suite 103
Plano, TX 75023-4626
Phone
(469) 241-1294
Fax
(469) 241-1760
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mrs. Shae Anderson, OFFICE MANAGER
Title
Officer
Phone
(469) 241-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F007130 TX Primary

Addresses

Primary practice location

305 W Spring Creek Pkwy
Suite 103
Plano, TX 75023-4626

Mailing address

305 W Spring Creek Pkwy
Suite 103
Plano, TX 75023-4626
Phone (469) 241-1294

Other identifiers 1

IdentifierTypeStateIssuer
0029NCOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

305 W Spring Creek Pkwy
Ste 103
Plano, TX 75023
Phone (469) 241-1294

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1003928490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "469-241-1294",
            "fax_number": "469-241-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "469-241-1294",
            "fax_number": "469-241-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY MASSAGE & WELLNESS CENTER,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHAE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-241-1294",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F007130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0029NC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.