The Body Shop Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE BODY SHOP CHIROPRACTIC LLC

Practice address

4015 Main St
Dallas, TX 75226-1231

Phone

(469) 334-0624

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer KinnearNPI 1871959841

Title

Managing Member

Phone

(469) 334-0624

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Kinnear, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1871959841
  NPD (past) Authorized official
• Adam Bohnenblust, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1528505096
  NPD (past)
• Jeffrey Leon Shirley, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1790700896
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1104245422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 MAIN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261231",
            "telephone_number": "469-334-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MAIN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261231",
            "telephone_number": "469-334-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY SHOP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KINNEAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-334-0624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.