100 Percent Chiropractic Dallas Two, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13201 Issued in TX

Legal business name

100 PERCENT CHIROPRACTIC DALLAS TWO, LLC

Practice address

5100 Belt Line Rd Ste 316
Dallas, TX 75254-7126

Phone

(972) 807-2749

Fax

(972) 807-2766

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robin Boshears, D.C.

Title

Chiropractor/Owner

Phone

(972) 807-2749

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1033568423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE RD STE 316",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547126",
            "telephone_number": "972-807-2749",
            "fax_number": "972-807-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE RD STE 316",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547126",
            "telephone_number": "972-807-2749",
            "fax_number": "972-807-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC DALLAS TWO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BOSHEARS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "972-807-2749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336593383",
            "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 Jun 7, 2016; 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.