Sportmed Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12373 Issued in TX

Legal business name

SPORTMED CHIROPRACTIC PLLC

Practice address

1100 S Main St
Suite D
Grapevine, TX 76051-7531

Phone

(817) 203-2184

Fax

(817) 488-9054

NPI assigned

Feb 5, 2014

Last updated

Mar 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Scott Robinson, D.C.NPI 1851739072

Title

Chiropractor

Phone

(817) 203-2184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Ryan S Robinson, D.C.

  • Chiropractor
  • Grapevine, TX
  • NPI 1851739072
  Medicare reassignment NPD Authorized official
• Gregory Kirk Harmon, D.C.

  • Chiropractor
  • Grapevine, TX
  • NPI 1992876908
  NPD (past)
• James Elmer Reiland Jr., D.C.

  • Chiropractor
  • Grapevine, TX
  • NPI 1568769305
  NPD (past)

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393718400000",
    "number": "1184048654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "SUITE D",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517531",
            "telephone_number": "817-203-2184",
            "fax_number": "817-488-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "SUITE D",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517531",
            "telephone_number": "817-203-2184",
            "fax_number": "817-488-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTMED CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-03-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "817-203-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.