Faith Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9275 Issued in TX

Legal business name

FAITH CHIROPRACTIC CLINIC PLLC

Practice address

5801 M D Love Frwy
Suite 305
Dallas, TX 75237

Phone

(214) 330-9596

Fax

(214) 330-9588

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerri Johnson, DC

Title

Owner

Phone

(214) 330-9596

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1013088673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 M D LOVE FRWY",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-330-9596",
            "fax_number": "214-330-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 M D LOVE FRWY",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-330-9596",
            "fax_number": "214-330-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-330-9596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200547433T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8BQ250",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Faith in You LLC
• Faith Medical Supply
• Faith Ministries of Texas, Inc.

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.