Grapevine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12461 Issued in TX

Legal business name

GRAPEVINE CHIROPRACTIC LLC

Doing business as

Family Wellness Chiropractic

Practice address

2011 W Northwest Hwy
Ste 130
Grapevine, TX 76051-7857

Phone

(817) 310-0998

Fax

(817) 310-0994

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Kelli Moore

Title

Owner

Phone

(817) 310-0998

Specialties & licenses 1

Addresses

Other names 1

• FAMILY WELLNESS CHIROPRACTIC Doing business as

Locations

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1205228095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W NORTHWEST HWY",
            "address_2": "STE 130",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517857",
            "telephone_number": "817-310-0998",
            "fax_number": "817-310-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W NORTHWEST HWY",
            "address_2": "STE 130",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517857",
            "telephone_number": "817-310-0998",
            "fax_number": "817-310-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-310-0998"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY WELLNESS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.