A & M Chiropractic PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5279 Issued in TX

Legal business name

A & M CHIROPRACTIC PC

Practice address

4012 SW Green Oaks Blvd
Arlington, TX 76017-4113

Phone

(817) 572-0072

Fax

(817) 478-2212

NPI assigned

May 14, 2010

Organization subpart

No

Name

Dr. Andrea Teresa Milne, DC

Title

Owner

Phone

(817) 572-0072

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2010.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1013235019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170156",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760030156",
            "telephone_number": "817-572-0072",
            "fax_number": "817-478-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174113",
            "telephone_number": "817-572-0072",
            "fax_number": "817-478-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & M CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "MILNE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-572-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "605588",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.