DFW Advanced Medical

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5246 Issued in TX

Legal business name

DFW ADVANCED MEDICAL

Practice address

2520 Harwood Rd Ste 200
Bedford, TX 76021-6709

Phone

(817) 267-6222

Fax

(817) 545-3488

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Ken Cooper, DC

Title

Director

Phone

(817) 267-6222

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1114102571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARWOOD RD STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216709",
            "telephone_number": "817-267-6222",
            "fax_number": "817-545-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARWOOD RD STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216709",
            "telephone_number": "817-267-6222",
            "fax_number": "817-545-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW ADVANCED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-267-6222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5246",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "H9976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Errol Derouen
• Deuteronomy
• Jonathan R. Devane, P.A.
• Madhuri Devdhar, MD
• Chaundra Ja'Niece Dewberry
• DFW Ultrasound Associates, LLC
• Anjum Mehmood Dhamani
• Sophia Dhanani, DO
• Harish Kumar Dhingra, M.D.
• Diagnostex, LLC

• Chiropractor in Bedford, TX
• Providers in Bedford, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.