Organization Active NPI

Nix Chiropractic

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1023229697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5280 Issued in TX
Legal business name
NIX CHIROPRACTIC
Practice address
1700 S Southeast Loop 323 Ste 110
Tyler, TX 75701-5000
Phone
(800) 353-5420
Fax
(866) 897-5366
NPI assigned
May 25, 2007
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
Cara Conder
Title
Billing Manager
Phone
(800) 353-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC5280 TX Primary

Addresses

Primary practice location

1700 S Southeast Loop 323 Ste 110
Tyler, TX 75701-5000

Mailing address

1700 S Southeast Loop 323 Ste 110
Tyler, TX 75701-5000
Phone (800) 353-5420

Other identifiers 1

IdentifierTypeStateIssuer
80580YOtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

1700 Sse Loop 323
Ste 110
Tyler, TX 75701
Phone (903) 565-4021

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023229697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015000",
            "telephone_number": "800-353-5420",
            "fax_number": "866-897-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015000",
            "telephone_number": "800-353-5420",
            "fax_number": "866-897-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIX CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONDER",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "800-353-5420"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "80580Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, 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.