Pro-Adjuster Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8020 Issued in TX

Legal business name

PRO-ADJUSTER CHIROPRACTIC CLINIC, INC.

Practice address

103 E Belt Line Rd
Ste. G
Cedar Hill, TX 75104-2274

Phone

(972) 291-1992

Fax

(972) 291-1163

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lesa Gillezeau Ansell, D.C., R.N.

Title

Owner/Chiropractor

Phone

(972) 291-1992

Specialties & licenses 1

Addresses

Other names 1

• Ideal Health of Dallas Former legal business name

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1154552834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BELT LINE RD",
            "address_2": "STE. G",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042274",
            "telephone_number": "972-291-1992",
            "fax_number": "972-291-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BELT LINE RD",
            "address_2": "STE. G",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042274",
            "telephone_number": "972-291-1992",
            "fax_number": "972-291-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ADJUSTER CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "ANSELL",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "GILLEZEAU",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-291-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., R.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Health of Dallas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.