380 Chiropractic & Wellness LLC
Organization Active NPI Chiropractor · McKinney, TX
NPI 1194126417 · NPPES record last updated Apr 17, 2015
Key facts
- NPI
- 1194126417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10810 (TX)
- Legal business name
- 380 CHIROPRACTIC & WELLNESS LLC
- Practice address
- 2414 W University Dr
112
McKinney, TX 75071-2853 - Phone
- (214) 901-7211
- Fax
- (214) 975-2666
- NPI assigned
- Sep 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Cacozza III, D.C.
- Title
- Chiropractor
- Phone
- (214) 901-7211
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150417001078 | TX | Part B Supplier - Clinic/Group Practice | 4981922101 |
Receives reassigned benefits from 1 practitioner Practice locations: McKinney, TX |
National Provider Directory
Locations
2414 W University Dr
Ste 112
McKinney, TX 75071
Phone (214) 901-7211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 10810 | TX | Yes |
Addresses
Primary practice location
2414 W University Dr
112
McKinney, TX 75071-2853
Mailing address
2414 W University Dr
112
McKinney, TX 75071-2853
Phone (214) 901-7211
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.