Blue Zone Medical Group PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BLUE ZONE MEDICAL GROUP PLLC

Practice address

4040 Legacy Dr Ste 203
Frisco, TX 75034-6748

Phone

(214) 618-7746

Fax

(214) 377-6243

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Schindlbeck, DC

Title

Authorized Official

Phone

(972) 781-1878

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Candice Lynn Brown Addison, MD

  • General Practice Physician
  • Irving, TX
  • NPI 1326251208
  Medicare reassignment NPD (past)
• Boney Noriega, DC

  • Chiropractor
  • McKinney, TX
  • NPI 1891667184
  NPD (past)

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1154173987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748",
            "telephone_number": "214-618-7746",
            "fax_number": "214-377-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748",
            "telephone_number": "214-618-7746",
            "fax_number": "214-377-6243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Watters Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135008",
            "country_code": "US",
            "telephone_number": "469-305-0782",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Preston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242616",
            "country_code": "US",
            "telephone_number": "972-781-1878",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 N Travis St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750925165",
            "country_code": "US",
            "telephone_number": "469-963-1771",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6944 Mediterranean Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750725574",
            "country_code": "US",
            "telephone_number": "972-369-1471",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13108 Dallas Pkwy Ste 410",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334246",
            "country_code": "US",
            "telephone_number": "469-850-0222",
            "fax_number": "214-377-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE ZONE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHINDLBECK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-781-1878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.