Abundant Wellness PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9902 Issued in TX

Legal business name

ABUNDANT WELLNESS PC

Doing business as

Well Spine at Vista

Practice address

1919 S. Shiloh
Ste 107
Garland, TX 75042-8234

Phone

(972) 840-2520

Fax

(972) 840-2435

NPI assigned

Aug 28, 2008

Last updated

Mar 14, 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

James A Mixon, DC

Title

Owner

Phone

(972) 840-2520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WELL SPINE AT VISTA Doing business as

Locations

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.

• Johnathan L. Fowler, PH.D.

  • Psychologist
  • Rockwall, TX
  • NPI 1760822027
  NPD

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1043468408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S. SHILOH",
            "address_2": "STE 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428234",
            "telephone_number": "972-840-2520",
            "fax_number": "972-840-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S. SHILOH",
            "address_2": "STE 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428234",
            "telephone_number": "972-840-2520",
            "fax_number": "972-840-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-840-2520",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "608122",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELL SPINE AT VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Robyn Abramczyk, DDS
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• Chiropractor in Garland, TX
• Providers in Garland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.