Organization Active NPI

Crown Chiropractic Clinics

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1144064528
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CROWN CHIROPRACTIC CLINICS
Practice address
1801 Gateway Blvd Ste 214
Richardson, TX 75080-3646
Phone
(469) 927-9027
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Nasser Samadi, DCNPI 1790409209
Title
Manager
Phone
(815) 670-6819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1801 Gateway Blvd Ste 214
Richardson, TX 75080-3646

Mailing address

1704 Willard Dr
McKinney, TX 75072-2922
Phone (815) 670-6819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918004144 TX Part B Supplier - Clinic/Group Practice 0648711531 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

1801 Gateway Blvd
Ste 214
Richardson, TX 75080
Phone (469) 927-9027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1144064528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WILLARD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750722922",
            "telephone_number": "815-670-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 214",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803646",
            "telephone_number": "469-927-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CHIROPRACTIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "SAMADI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-670-6819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.