Organization Active NPI

LJ3 Holdings, LLC

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1134501802
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LJ3 HOLDINGS, LLC
Practice address
1800 East State Highway 114
Suite 101
Southlake, TX 76092-6529
Phone
(817) 416-0606
Fax
(817) 488-7972
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Mrs. Amy Cox
Title
Office Manager
Phone
(580) 763-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1800 East State Highway 114
Suite 101
Southlake, TX 76092-6529

Mailing address

1800 East State Highway 114
Suite 101
Southlake, TX 76092-6529
Phone (817) 416-0606

Other names 1

  • Stack Velocity Doing business as

National Provider Directory

National Provider Directory

Locations

1800 E State Highway 114
Ste 101
Southlake, TX 76092
Phone (469) 919-6299

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1134501802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 EAST STATE HIGHWAY 114",
            "address_2": "SUITE 101",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926529",
            "telephone_number": "817-416-0606",
            "fax_number": "817-488-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAST STATE HIGHWAY 114",
            "address_2": "SUITE 101",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926529",
            "telephone_number": "817-416-0606",
            "fax_number": "817-488-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ3 HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-763-7336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stack Velocity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.