NPIMap

Organization Active NPI

Southlake Health P.C.

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1053630327
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10567 Issued in TX
Legal business name
SOUTHLAKE HEALTH P.C.
Practice address
100 W Southlake Blvd
Suite # 410
Southlake, TX 76092-6100
Phone
(817) 310-6604
Fax
(817) 310-6478
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Robert Meyer, D.C.
Title
Chiropractor/Owner
Phone
(817) 310-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10567 TX Primary

Addresses

Primary practice location

100 W Southlake Blvd
Suite # 410
Southlake, TX 76092-6100

Mailing address

100 W Southlake Blvd
Suite # 410
Southlake, TX 76092-6100
Phone (817) 310-6604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1053630327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD",
            "address_2": "SUITE # 410",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926100",
            "telephone_number": "817-310-6604",
            "fax_number": "817-310-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD",
            "address_2": "SUITE # 410",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926100",
            "telephone_number": "817-310-6604",
            "fax_number": "817-310-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "817-310-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.