Organization Active NPI

Life Touch Chiropractic and Wellness Group, PLLC

Doing business as Life Touch Chiropractic and Wellness

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1063118891
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE TOUCH CHIROPRACTIC AND WELLNESS GROUP, PLLC
Doing business as
Life Touch Chiropractic and Wellness
Practice address
2929 N Central Expy Ste 310
Richardson, TX 75080-2046
Phone
(214) 484-3236
Fax
(214) 730-0948
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Jerry Stokes Jr., DCNPI 1053813840
Title
Owner
Phone
(214) 214-3236

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 Primary

Addresses

Primary practice location

2929 N Central Expy Ste 310
Richardson, TX 75080-2046

Mailing address

2929 N Central Expy Ste 310
Richardson, TX 75080-2046
Phone (214) 484-3236

Other names 1

  • Life Touch Chiropractic and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230605002065 TX Part B Supplier - Clinic/Group Practice 7618334780 Receives reassigned benefits from 3 practitioners
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

2929 N Central Expy
Ste 310
Richardson, TX 75080
Phone (214) 484-3236

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1063118891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "214-484-3236",
            "fax_number": "214-730-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "214-484-3236",
            "fax_number": "214-730-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TOUCH CHIROPRACTIC AND WELLNESS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-214-3236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Touch Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Touch Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.