Active NPI
Lou Saucedo Jr., DC
- Chiropractor
- Dallas, TX
National Provider Identifier
1154488864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6765
- Practice address
- 200 Wynnewood Village
Dallas, TX 75224 - Phone
- (214) 946-7246
- Fax
- (214) 946-1351
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6765 | TX | Primary |
Addresses
Primary practice location
200 Wynnewood Village
Dallas, TX 75224
Mailing address
129 Bricknell LN
Coppell, TX 75019-2596
Phone (214) 649-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6765 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154488864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 BRICKNELL LN",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192596",
"telephone_number": "214-649-1408",
"fax_number": "214-946-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WYNNEWOOD VILLAGE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75224",
"telephone_number": "214-946-7246",
"fax_number": "214-946-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCEDO",
"first_name": "LOU",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.