Organization Active NPI

Farris Chiropractic Office,Inc.

  • Chiropractor
  • Longview, TX
National Provider Identifier
1184928467
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2338 Issued in TX
Legal business name
FARRIS CHIROPRACTIC OFFICE,INC.
Practice address
3110 Gilmer Rd
Longview, TX 75604-1439
Phone
(903) 759-3651
Fax
(903) 759-3659
NPI assigned
Dec 31, 2010
Last updated
Dec 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Dr. Gearald Farris, D.C.NPI 1184710253
Title
Pres.
Phone
(903) 759-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2338 TX Primary

Addresses

Primary practice location

3110 Gilmer Rd
Longview, TX 75604-1439

Mailing address

3110 Gilmer Rd
Longview, TX 75604-1439
Phone (903) 759-3651

Other identifiers 1

IdentifierTypeStateIssuer
600268OtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000307 TX Part B Supplier - Clinic/Group Practice 4284898768 Receives reassigned benefits from 1 practitioner
Practice locations: Longview, TX

National Provider Directory

National Provider Directory

Locations

3110 Gilmer Rd
Longview, TX 75604
Phone (903) 759-3651

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": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1184928467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041439",
            "telephone_number": "903-759-3651",
            "fax_number": "903-759-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041439",
            "telephone_number": "903-759-3651",
            "fax_number": "903-759-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRIS CHIROPRACTIC OFFICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "GEARALD",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "903-759-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "600268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.