Organization Active NPI

Pray Family Chiropractic

  • Chiropractor
  • Mineral Wells, TX
National Provider Identifier
1093264665
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9883 Issued in TX
Legal business name
PRAY FAMILY CHIROPRACTIC
Practice address
409 W Hubbard St
Mineral Wells, TX 76067-4846
Phone
(214) 469-6059
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Lisa M Pray, D.C.NPI 1538393681
Title
Owner
Phone
(214) 469-6059

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 9883 TX Primary

Addresses

Primary practice location

409 W Hubbard St
Mineral Wells, TX 76067-4846

Mailing address

409 W Hubbard St
Mineral Wells, TX 76067-4846
Phone (214) 469-6059

Other identifiers 1

IdentifierTypeStateIssuer
511788ZVP8OtherTXMEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

Locations

409 W Hubbard St
Mineral Wells, TX 76067
Phone (214) 469-6059

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": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1093264665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674846",
            "telephone_number": "214-469-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674846",
            "telephone_number": "214-469-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "PRAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-469-6059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "511788ZVP8",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.