Crossroads Natural Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7070 Issued in TX

Legal business name

CROSSROADS NATURAL HEALTH, LLC

Practice address

3125 S Carrier Pkwy
Suite B
Grand Prairie, TX 75052-3735

Phone

(972) 641-7111

Fax

(972) 660-1119

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth R. Taylor, D.C.

Title

Member/President

Phone

(972) 641-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1174640213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540369",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540369",
            "telephone_number": "972-641-7111",
            "fax_number": "972-660-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S CARRIER PKWY",
            "address_2": "SUITE B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523735",
            "telephone_number": "972-641-7111",
            "fax_number": "972-660-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS NATURAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "972-641-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0050PD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.