Organization Active NPI

Genesis Spine Associates, Inc

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1043547607
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENESIS SPINE ASSOCIATES, INC
Practice address
901 W Wall St
Ste 101
Grapevine, TX 76051-7414
Phone
(817) 481-4246
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Nicholas Coleman, D.C.
Title
President
Phone
(972) 378-9991

Specialties & licenses 1

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

Addresses

Primary practice location

901 W Wall St
Ste 101
Grapevine, TX 76051-7414

Mailing address

6101 Windcom CT
Ste 300
Plano, TX 75093-7817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1043547607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM CT",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W WALL ST",
            "address_2": "STE 101",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517414",
            "telephone_number": "817-481-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SPINE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-378-9991",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

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