Organization Active NPI

Aligned Chiropractic TX, LLC

  • Chiropractor
  • Greenville, TX
National Provider Identifier
1104646868
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALIGNED CHIROPRACTIC TX, LLC
Practice address
3601 Hwy 34S, Ste 106
Greenville, TX 75402
Phone
(903) 309-5673
Fax
(903) 309-5633
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dr. Phillip Wade Paul, DCNPI 1326183765
Title
Doctor of Chiropractic
Phone
(903) 309-5673

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 Primary

Addresses

Primary practice location

3601 Hwy 34S, Ste 106
Greenville, TX 75402

Mailing address

3601 Hwy 34S, Ste 106
Greenville, TX 75402
Phone (903) 309-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206002258 TX Part B Supplier - Clinic/Group Practice 1052841913 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX; Palestine, TX

National Provider Directory

National Provider Directory

Locations

3601 State Highway 34 S
Ste 106
Greenville, TX 75402
Phone (903) 309-5673

1550 E Palestine Ave
Palestine, TX 75801
Phone (903) 729-4325

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1104646868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HWY 34S, STE 106",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-309-5673",
            "fax_number": "903-309-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HWY 34S, STE 106",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-309-5673",
            "fax_number": "903-309-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGNED CHIROPRACTIC TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "903-309-5673",
        "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 Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.