Active Chiropractic P.C

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

10190 Issued in TX

Legal business name

ACTIVE CHIROPRACTIC P.C

Practice address

11615 Forest Central Dr
214
Dallas, TX 75243-3921

Phone

(214) 553-5543

Fax

(214) 553-5531

NPI assigned

Jul 1, 2009

Last updated

Jul 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoss Mansoori, CHIROPRACTICNPI 1952416323

Title

Doctor

Phone

(214) 553-5543

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, and the practitioner matching its NPPES authorized official.

• Hoss Mansoori, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1952416323
  Authorized official Same address or phone

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1114155819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "address_2": "214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "214-553-5543",
            "fax_number": "214-553-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "address_2": "214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "214-553-5543",
            "fax_number": "214-553-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "MANSOORI",
        "authorized_official_first_name": "HOSS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-553-5543",
        "authorized_official_credential": "CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "10190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Active Chiropractic and Wellness
• Active Chiropratic
• Active Health Services
• Acu First Diagnostic Laboratory, Inc
• Acuity Diagnostics
• Acumed Clinic (Hawken Acupuncture)

• Internist Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Internist Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.