Organization Active NPI

Michael D Ashby D.C., P.a.

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1063779643
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4405 Issued in TX
Legal business name
MICHAEL D ASHBY D.C., P.A.
Practice address
2011 N Collins Blvd
Ste 707
Richardson, TX 75080-2645
Phone
(972) 414-8181
Fax
(469) 248-3414
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Michael D Ashby, D.C.NPI 1841282530
Title
Owner
Phone
(972) 414-8181

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 4405 TX Primary

Addresses

Primary practice location

2011 N Collins Blvd
Ste 707
Richardson, TX 75080-2645

Mailing address

2011 N Collins Blvd
Ste 707
Richardson, TX 75080-2645
Phone (972) 414-8181

Other names 1

  • Ashby Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120627000770 TX Part B Supplier - Clinic/Group Practice 1557526407 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

7602 N Jupiter Rd
Ste 107
Garland, TX 75044
Phone (972) 414-8181

1475 Richardson Dr
Ste 204
Richardson, TX 75080
Phone (469) 248-3378

2011 N Collins Blvd
Ste 707
Richardson, TX 75080
Phone (972) 414-8181

Practitioners & affiliated clinicians

Practitioners 1

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": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1063779643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD",
            "address_2": "STE 707",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802645",
            "telephone_number": "972-414-8181",
            "fax_number": "469-248-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD",
            "address_2": "STE 707",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802645",
            "telephone_number": "972-414-8181",
            "fax_number": "469-248-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D ASHBY D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-414-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashby Chiropractic Clinic",
            "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 Oct 17, 2013; 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.