Slade Chiropractic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

12482 Issued in TX

Legal business name

SLADE CHIROPRACTIC PLLC

Practice address

5656 Wills Creek LN
Fort Worth, TX 76179-7626

Phone

(951) 805-5473

NPI assigned

Jan 21, 2014

Organization subpart

No

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.

Title

Owner

Phone

(951) 805-5473

Specialties & licenses 1

Addresses

Other names 1

• Slade Chiropractic & Wellness Center Doing business as

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"
        }
    ]
}

• Levi Dean Skog, DC
• Bryan Skulpoonkitti, D.O.
• Betty L Skur
• Skyline Drug LLC
• Lindsey Slack, D.O.
• Herbert Bryan Slade, M.D.
• Jason McCoy Slade, D.C.
• Angela E Slagle, RNFA
• Sean Vu Slater, DO
• J Mack Slaughter Jr., M.D.

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• 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.