Organization Active NPI

New Life Chiropractic

  • Radiology Chiropractor
  • Flower Mound, TX
National Provider Identifier
1205933231
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
6315 Issued in TX
Legal business name
NEW LIFE CHIROPRACTIC
Practice address
2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone
(972) 899-8002
Fax
(972) 899-8003
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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

Authorized official

Name
Tiffany L McCoy-Moore, D.A.C.B.R.NPI 1023201985
Title
Owner/Chiropractor
Phone
(972) 899-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 11117 TX
Radiology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0200X 6315 TX Primary

Addresses

Primary practice location

2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839

Mailing address

2628 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone (972) 899-8002

Other names 1

  • New Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248480000000",
    "number": "1205933231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-8002",
            "fax_number": "972-899-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-8002",
            "fax_number": "972-899-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCOY-MOORE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-899-8002",
        "authorized_official_credential": "D.A.C.B.R."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11117",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.