Organization Active NPI

Redondo Health LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1104365527
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8044 Issued in TX
Legal business name
REDONDO HEALTH LLC
Practice address
6711 W Northwest Hwy
Dallas, TX 75225-4201
Phone
(214) 369-4777
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Paul Grindstaff Jr., DC
Title
Principal
Phone
(214) 369-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8044 TX Primary

Addresses

Primary practice location

6711 W Northwest Hwy
Dallas, TX 75225-4201

Mailing address

6711 W Northwest Hwy
Dallas, TX 75225-4201
Phone (214) 369-4777

Other names 1

  • Chiro Rehab of Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1104365527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254201",
            "telephone_number": "214-369-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254201",
            "telephone_number": "214-369-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDONDO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "GRINDSTAFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-369-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro Rehab of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.