NPIMap

Organization Active NPI

Devos Chiropractic P.a.

  • Clinic/Center
  • Southlake, TX
National Provider Identifier
1073899324
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8031 Issued in TX
Legal business name
DEVOS CHIROPRACTIC P.A.
Practice address
1959 W Southlake Blvd
Suite 140
Southlake, TX 76092-6713
Phone
(972) 989-1363
Fax
(817) 488-8927
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Wim Devos, D.C.NPI 1164690020
Title
President
Phone
(972) 989-1363

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
Clinic/Center 261Q00000X 8031 TX Primary

Addresses

Primary practice location

1959 W Southlake Blvd
Suite 140
Southlake, TX 76092-6713

Mailing address

304 King Richard St
Irving, TX 75061-6427
Phone (972) 989-1363

National Provider Directory

National Provider Directory

Locations

1959 W Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (972) 989-1363

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1073899324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 KING RICHARD ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616427",
            "telephone_number": "972-989-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 W SOUTHLAKE BLVD",
            "address_2": "SUITE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926713",
            "telephone_number": "972-989-1363",
            "fax_number": "817-488-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOS CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "DEVOS",
        "authorized_official_first_name": "WIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-989-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "8031",
            "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 Apr 9, 2013; 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.