Organization Active NPI

Cowtown Chiropractic

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1063987956
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COWTOWN CHIROPRACTIC
Practice address
4528 W Vickery Blvd Ste 102
Fort Worth, TX 76107-6263
Phone
(817) 423-2600
Fax
(817) 423-2601
NPI assigned
Oct 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Dr. Stephanie M Janiak, DC
Title
Manager
Phone
(817) 423-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4528 W Vickery Blvd Ste 102
Fort Worth, TX 76107-6263

Mailing address

4528 W Vickery Blvd Ste 102
Fort Worth, TX 76107-6263
Phone (817) 423-2600

National Provider Directory

National Provider Directory

Locations

5609 SW Green Oaks Blvd
Ste 103
Arlington, TX 76017
Phone (817) 423-2600

Practitioners & affiliated clinicians

Practitioners 2

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": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1063987956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 W VICKERY BLVD STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076263",
            "telephone_number": "817-423-2600",
            "fax_number": "817-423-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 W VICKERY BLVD STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076263",
            "telephone_number": "817-423-2600",
            "fax_number": "817-423-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWTOWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "JANIAK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-423-2600",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.