Organization Active NPI

Dallas Physical Performance Center

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1013014901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2777 Issued in TX
Legal business name
DALLAS PHYSICAL PERFORMANCE CENTER
Practice address
601 N Akard St
4TH Floor
Dallas, TX 75201-3303
Phone
(214) 220-1217
Fax
(214) 220-1196
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tia Aspra
Title
Credentialing
Phone
(830) 238-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2777 TX Primary

Addresses

Primary practice location

601 N Akard St
4TH Floor
Dallas, TX 75201-3303

Mailing address

1108 Bally Mote Dr
Dallas, TX 75218-3904
Phone (214) 220-1217

Other identifiers 1

IdentifierTypeStateIssuer
0082NCOtherTXBCBS TEXAS GROUP

Other names 1

  • DPPC Other name

National Provider Directory

National Provider Directory
Tax ID family
Chronic Pain Management of Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013014901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BALLY MOTE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183904",
            "telephone_number": "214-220-1217",
            "fax_number": "214-220-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N AKARD ST",
            "address_2": "4TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013303",
            "telephone_number": "214-220-1217",
            "fax_number": "214-220-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PHYSICAL PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASPRA",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "830-238-4112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS GROUP",
            "identifier": "0082NC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DPPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.