NPIMap

Organization Active NPI

Chiropractic Professionals of Lindale PC

Doing business as Lindale Chiropractic Clinic

  • Chiropractor
  • Lindale, TX
National Provider Identifier
1174700314
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6470TX Issued in TX
Legal business name
CHIROPRACTIC PROFESSIONALS OF LINDALE PC
Doing business as
Lindale Chiropractic Clinic
Practice address
1437 S Main
Lindale, TX 75771
Phone
(903) 882-1828
Fax
(903) 882-0804
NPI assigned
Jan 30, 2008
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. George Craig Pitts, DCNPI 1871662395
Title
President of Corp
Phone
(903) 882-1828

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
Chiropractor 111N00000X 6470TX TX Primary

Addresses

Primary practice location

1437 S Main
Lindale, TX 75771

Mailing address

PO Box 2407
Lindale, TX 75771-8507
Phone (903) 882-1828

Other identifiers 1

IdentifierTypeStateIssuer
862225OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Lindale Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

906 S Main St
Ste A
Lindale, TX 75771
Phone (903) 882-1828

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1174700314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757718507",
            "telephone_number": "903-882-1828",
            "fax_number": "903-882-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S MAIN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-1828",
            "fax_number": "903-882-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PROFESSIONALS OF LINDALE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "903-882-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6470TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "862225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindale Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.