Dodson Family Chiropractic LLC
Organization Active NPI Chiropractor · Pittsburg, TX
NPI 1104837731 · NPPES record last updated Jul 19, 2012
Key facts
- NPI
- 1104837731
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DODSON FAMILY CHIROPRACTIC LLC
- Practice address
- 311 Lafayette St
Pittsburg, TX 75686-1709 - Phone
- (903) 856-7771
- Fax
- (903) 856-7772
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Jacque Keil
- Title
- Billing Manager
- Phone
- (866) 933-1381
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061017000576 | TX | Part B Supplier - Clinic/Group Practice | 9032115944 |
Receives reassigned benefits from 1 practitioner Practice locations: Pittsburg, TX |
National Provider Directory
Locations
500 N Greer Blvd
Pittsburg, TX 75686
Phone (903) 856-7771
311 Lafayette St
Pittsburg, TX 75686
Phone (903) 856-7771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
311 Lafayette St
Pittsburg, TX 75686-1709
Mailing address
311 Lafayette St
Pittsburg, TX 75686-1709
Phone (903) 856-7771
Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.