100 Percent Chiropractic Dallas One LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12011 Issued in TX

Legal business name

100 PERCENT CHIROPRACTIC DALLAS ONE LLC

Practice address

7324 Gaston Ave
Suite 118
Dallas, TX 75214

Phone

(281) 467-5381

NPI assigned

Mar 29, 2014

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael James Carr, D.C.NPI 1164797908

Title

DC

Phone

(214) 812-9906

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Phillips, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1790481208
  Medicare reassignment NPD
• Michael James Carr, D.C.

  • Chiropractor
  • Mesquite, TX
  • NPI 1164797908
  NPD Authorized official
• Olubukola Michelle Adebiyi, D.C

  • Chiropractor
  • Dallas, TX
  • NPI 1578275210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1104244003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 GASTON AVE # 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146126",
            "telephone_number": "214-812-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 GASTON AVE",
            "address_2": "SUITE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "281-467-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC DALLAS ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "214-812-9906",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007106",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 100Percant Care Transportation, Inc
• 180 Wellness PLLC
• 1918 Winter Street Operating Co LLC (Tom Thumb Pharmacy #2534)

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.