Organization Active NPI

Dr. Andy Chiropractic

  • Chiropractor
  • Garland, TX
National Provider Identifier
1194962373
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8631 Issued in TX
Legal business name
DR. ANDY CHIROPRACTIC
Practice address
2334 W Buckingham Rd Ste 360
Garland, TX 75042-3940
Phone
(972) 272-7788
Fax
(972) 272-0088
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Phounsavath Andy Philachack, D.C.
Title
Chiropractor
Phone
(972) 272-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8631 TX Primary

Addresses

Primary practice location

2334 W Buckingham Rd Ste 360
Garland, TX 75042-3940

Mailing address

2334 W Buckingham Rd Ste 360
Garland, TX 75042-3940
Phone (972) 272-7788

Other identifiers 1

IdentifierTypeStateIssuer
0069EVOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2334 W Buckingham Rd
Ste 360
Garland, TX 75042
Phone (972) 272-7788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1194962373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W BUCKINGHAM RD STE 360",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423940",
            "telephone_number": "972-272-7788",
            "fax_number": "972-272-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W BUCKINGHAM RD STE 360",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423940",
            "telephone_number": "972-272-7788",
            "fax_number": "972-272-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "PHILACHACK",
        "authorized_official_first_name": "PHOUNSAVATH",
        "authorized_official_middle_name": "ANDY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-272-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0069EV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.