Organization Active NPI

Elevation Health S. Arlington LLC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1104242593
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATION HEALTH S. ARLINGTON LLC
Practice address
4623 S Cooper St
Arlington, TX 76017-5827
Phone
(817) 318-5472
Fax
(817) 577-2345
NPI assigned
Mar 10, 2014
Organization subpart
Yes
Parent organization
HEXAGON HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Dr. Jimmy Labrecque, DC
Title
Cofounder
Phone
(817) 577-6061

Specialties & licenses 1

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

Addresses

Primary practice location

4623 S Cooper St
Arlington, TX 76017-5827

Mailing address

4623 S Cooper St
Arlington, TX 76017-5827
Phone (817) 697-2560

National Provider Directory

National Provider Directory
Part of
Hexagon Health LLC

Locations

4623 S Cooper St
Arlington, TX 76017
Phone (817) 318-5472

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1104242593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-697-2560",
            "fax_number": "817-577-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-318-5472",
            "fax_number": "817-577-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION HEALTH S. ARLINGTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEXAGON HEALTH",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "817-577-6061",
        "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 Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.