Cornerstone Chiropractic II LLC
Organization Active NPI Chiropractor · Aubrey, TX
NPI 1124667209 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1124667209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CORNERSTONE CHIROPRACTIC II LLC
- Practice address
- 27077 East University Drive
BLDG 2, Ste 200
Aubrey, TX 76227 - Phone
- (214) 383-9170
- NPI assigned
- Jan 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Demetrius Anderson, DC
- Title
- Owner
- Phone
- (214) 383-9170
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200311000882 | TX | Part B Supplier - Clinic/Group Practice | 6507294287 |
Receives reassigned benefits from 3 practitioners Practice locations: Aubrey, TX |
National Provider Directory
Locations
204 Central Expy S
Ste 45
Allen, TX 75013
Phone (214) 383-9170
27045 E University Dr
Ste 2B
Little Elm, TX 76227
Phone (214) 383-9170
27077 E University Dr
Bldg 2
Little Elm, TX 76227
Phone (214) 383-9170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
27077 East University Drive
BLDG 2, Ste 200
Aubrey, TX 76227
Mailing address
27045 E University Dr Ste 2B
Aubrey, TX 76227-2746
Phone (214) 383-9170
Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.