Organization Active NPI

Genesis Family Chiropractic Center Inc

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1154514230
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9798 Issued in TX
Legal business name
GENESIS FAMILY CHIROPRACTIC CENTER INC
Practice address
12222 Merit Dr Ste 340
Dallas, TX 75251-2217
Phone
(972) 378-9991
Fax
(972) 378-9992
NPI assigned
Aug 22, 2007
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Nicholas Coleman, DCNPI 1467460584
Title
Owner
Phone
(972) 378-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 9798 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 340
Dallas, TX 75251-2217

Mailing address

12222 Merit Dr Ste 340
Dallas, TX 75251-2217
Phone (972) 378-9991

Other identifiers 1

IdentifierTypeStateIssuer
00614TMedicaidTX

National Provider Directory

National Provider Directory

Locations

12222 Merit Dr
Ste 340
Dallas, TX 75251
Phone (972) 378-9991

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1154514230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512217",
            "telephone_number": "972-378-9991",
            "fax_number": "972-378-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512217",
            "telephone_number": "972-378-9991",
            "fax_number": "972-378-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-378-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614T",
            "state": "TX"
        }
    ],
    "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 Feb 7, 2008; 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.