NPIMap

Organization Active NPI

Slade Chiropractic PLLC

Doing business as Slade Chiropractic & Wellness Center

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1124441506
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
12482 Issued in TX
Legal business name
SLADE CHIROPRACTIC PLLC
Doing business as
Slade Chiropractic & Wellness Center
Practice address
5656 Wills Creek LN
Fort Worth, TX 76179-7626
Phone
(951) 805-5473
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Jason McCoy Slade, D.C.NPI 1184758062
Title
Owner
Phone
(951) 805-5473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 12482 TX Primary

Addresses

Primary practice location

5656 Wills Creek LN
Fort Worth, TX 76179-7626

Mailing address

5656 Wills Creek LN
Fort Worth, TX 76179-7626
Phone (951) 805-5473

Other names 1

  • Slade Chiropractic & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1124441506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 WILLS CREEK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797626",
            "telephone_number": "951-805-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 WILLS CREEK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797626",
            "telephone_number": "951-805-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-805-5473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "12482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slade Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.