Organization Active NPI

North Texas Spinal Health & Wellness, Inc.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1205004744
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10828 Issued in TX
Legal business name
NORTH TEXAS SPINAL HEALTH & WELLNESS, INC.
Practice address
425 Old Newman Rd
Ste 100
Frisco, TX 75034-4308
Phone
(972) 712-5556
Fax
(972) 712-5579
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Brandon B Wilson, D.C.
Title
President
Phone
(972) 712-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10828 TX Primary

Addresses

Primary practice location

425 Old Newman Rd
Ste 100
Frisco, TX 75034-4308

Mailing address

425 Old Newman Rd
Ste 100
Frisco, TX 75034-4308
Phone (972) 712-5556

Other identifiers 1

IdentifierTypeStateIssuer
0011RPOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

12398 FM 423
Ste 300
Frisco, TX 75033
Phone (214) 872-4220

425 Old Newman Rd
Ste 100
Frisco, TX 75036
Phone (469) 277-0089

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1205004744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD",
            "address_2": "STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344308",
            "telephone_number": "972-712-5556",
            "fax_number": "972-712-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD",
            "address_2": "STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344308",
            "telephone_number": "972-712-5556",
            "fax_number": "972-712-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS SPINAL HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-712-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0011RP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.