Carrollton Kinesiology & Chiropractic Health Center

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

6689 Issued in TX

Legal business name

CARROLLTON KINESIOLOGY & CHIROPRACTIC HEALTH CENTER

Practice address

3610 N Josey LN Ste 130
Carrollton, TX 75007-3143

Phone

(972) 395-9795

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Peter David Jaillet, DCNPI 1225062540

Title

Owner

Phone

(972) 395-9795

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter David Jaillet, DC

  • Neurology Chiropractor
  • Carrollton, TX
  • NPI 1225062540
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104850429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N JOSEY LN STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073143",
            "telephone_number": "972-395-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N JOSEY LN STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073143",
            "telephone_number": "972-395-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON KINESIOLOGY & CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAILLET",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-395-9795",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "6689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollton Enterprises Co.
• Carrollton First Care Medical Center PLLC
• Carrollton Foot Center, PLLC
• Carrollton Health Care Center LTD Co
• Carrollton Injury Rehab
• Carrollton Medical Center
• Carrollton Modern Dentistry
• Carrollton Or Surgical Affiliates PLLC
• Carrollton Physical Therapy Clinic, PC.
• Carrollton Podiatrist PLLC

• Neurology Chiropractor in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Neurology Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.