Structure Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6570 Issued in TX

Legal business name

STRUCTURE CHIROPRACTIC CENTER

Practice address

717 E Grauwyler Rd
Irving, TX 75061-2729

Phone

(972) 438-8044

Fax

(972) 438-8766

NPI assigned

Jun 13, 2012

Last updated

Jun 13, 2012By 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

Mr. Macedonio Quintero

Title

Owner

Phone

(972) 438-8044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1063774222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612729",
            "telephone_number": "972-438-8044",
            "fax_number": "972-438-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612729",
            "telephone_number": "972-438-8044",
            "fax_number": "972-438-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "MACEDONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-438-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Diane Strickland, NP
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• Ashley Stroye
• Theresa Margaret Stryk, CNM
• Rodney Wade Stuart, MD
• Loretta Watkins Stubblefield
• Sarah Stufflebean
• Mary Stultz-Ware, LPTA

• Chiropractor in Irving, TX
• Providers in Irving, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.