Organization Active NPI

Renewed Chiropractic and Wellness Center, PLLC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1023249489
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10644 Issued in TX
Legal business name
RENEWED CHIROPRACTIC AND WELLNESS CENTER, PLLC
Practice address
1121 Kinwest Pkwy
Suite 100
Irving, TX 75063-3135
Phone
(972) 401-2345
Fax
(214) 522-9428
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Almaya Wadley, DC
Title
Owner
Phone
(972) 401-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10644 TX Primary

Addresses

Primary practice location

1121 Kinwest Pkwy
Suite 100
Irving, TX 75063-3135

Mailing address

1121 Kinwest Pkwy
Suite 100
Irving, TX 75063-3135
Phone (972) 401-2345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1023249489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-401-2345",
            "fax_number": "214-522-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-401-2345",
            "fax_number": "214-522-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED CHIROPRACTIC AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "ALMAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-401-2345",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.