Organization Active NPI

Chiro Connect Injury Rehab LLC

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1013778794
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO CONNECT INJURY REHAB LLC
Practice address
285 N Interstate 35 E
Desoto, TX 75115-5299
Phone
(469) 613-4452
Fax
(469) 898-4313
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Shadana Hill, D.C.NPI 1386034213
Title
Owner
Phone
(469) 358-7991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

285 N Interstate 35 E
Desoto, TX 75115-5299

Mailing address

225 Happy LN
Red Oak, TX 75154-8858
Phone (469) 358-7991

National Provider Directory

National Provider Directory

Locations

285 N Interstate 35 E
Desoto, TX 75115
Phone (469) 613-4452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1013778794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HAPPY LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751548858",
            "telephone_number": "469-358-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N INTERSTATE 35 E",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155299",
            "telephone_number": "469-613-4452",
            "fax_number": "469-898-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO CONNECT INJURY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHADANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-358-7991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.