Organization Active NPI

Dallas Health 360, LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1205220167
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DALLAS HEALTH 360, LLC
Practice address
400 N Saint Paul St
200
Dallas, TX 75201-3114
Phone
(214) 954-4357
Fax
(469) 920-9574
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Dr. George Garcia, D.C.
Title
Chiropractor
Phone
(214) 954-4357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X TX Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 12040 TX

Addresses

Primary practice location

400 N Saint Paul St
200
Dallas, TX 75201-3114

Mailing address

400 N Saint Paul St
200
Dallas, TX 75201-3114
Phone (214) 954-4357

Other identifiers 2

IdentifierTypeStateIssuer
1205220167OtherTXGROUP NPI
123EC64398OtherTXDOCUMENT CONTROL NUMBER - VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1205220167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N SAINT PAUL ST",
            "address_2": "200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013114",
            "telephone_number": "214-954-4357",
            "fax_number": "469-920-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SAINT PAUL ST",
            "address_2": "200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013114",
            "telephone_number": "214-954-4357",
            "fax_number": "469-920-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS HEALTH 360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "214-954-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "12040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205220167",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT CONTROL NUMBER - VA",
            "identifier": "123EC64398",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.