Fort Worth Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORT WORTH CHIROPRACTIC CLINIC PLLC

Practice address

2920 Oak Park Cir Ste 101
Fort Worth, TX 76109-1853

Phone

(817) 924-7243

Fax

(817) 924-0284

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila R Page

Title

Office Manager

Phone

(817) 797-6280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Layne Page Sr., D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1609962190
  Medicare reassignment NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1164055141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 OAK PARK CIR STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091853",
            "telephone_number": "817-924-7243",
            "fax_number": "817-924-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 OAK PARK CIR STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091853",
            "telephone_number": "817-924-7243",
            "fax_number": "817-924-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-797-6280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.