Organization Active NPI

Fort Worth Family Chiropractic

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1033449343
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10548 Issued in TX
Legal business name
FORT WORTH FAMILY CHIROPRACTIC
Doing business as
Fort Worth Family Chiropractic
Practice address
4936 Byers Ave
Fort Worth, TX 76107-4149
Phone
(817) 737-3922
Fax
(817) 737-3929
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Jeffery Arllen Johnson, D.C.NPI 1194855270
Title
President
Phone
(817) 737-3922

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10548 TX Primary

Addresses

Primary practice location

4936 Byers Ave
Fort Worth, TX 76107-4149

Mailing address

4936 Byers Ave
Fort Worth, TX 76107-4149
Phone (817) 737-3922

Other names 1

  • Fort Worth Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1033449343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 BYERS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074149",
            "telephone_number": "817-737-3922",
            "fax_number": "817-737-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 BYERS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074149",
            "telephone_number": "817-737-3922",
            "fax_number": "817-737-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ARLLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-737-3922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Worth Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.