Organization Active NPI

Horizon Chiropractic and Wellness Center PC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1154543395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HORIZON CHIROPRACTIC AND WELLNESS CENTER PC
Practice address
5609 SW Green Oaks Blvd Ste 104
Arlington, TX 76017-1153
Phone
(817) 478-8700
Fax
(817) 478-8405
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglas Carl Pendergrass, D.O.
Title
Chiropractor
Phone
(817) 478-8700

Specialties & licenses 1

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

Addresses

Primary practice location

5609 SW Green Oaks Blvd Ste 104
Arlington, TX 76017-1153

Mailing address

5609 SW Green Oaks Blvd Ste 104
Arlington, TX 76017
Phone (817) 478-8700

National Provider Directory

National Provider Directory

Locations

5609 SW Green Oaks Blvd
Ste 104
Arlington, TX 76017
Phone (817) 478-8700

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154543395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-478-8700",
            "fax_number": "817-478-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171153",
            "telephone_number": "817-478-8700",
            "fax_number": "817-478-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON CHIROPRACTIC AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "817-478-8700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.