Organization Active NPI

Freedom Chiropractic & Wellness Center LLP

  • Chiropractor
  • Grand Prairie, TX
National Provider Identifier
1225331747
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6959 Issued in TX
Legal business name
FREEDOM CHIROPRACTIC & WELLNESS CENTER LLP
Practice address
5115 Lakeridge Pkwy
Suite 170
Grand Prairie, TX 75052-3003
Phone
(972) 522-7777
Fax
(972) 522-7793
NPI assigned
Dec 7, 2010
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Brenda Basken Ross, D.CNPI 1881873339
Title
Doctor of Chiropractic
Phone
(510) 378-7022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6959 TX Primary

Addresses

Primary practice location

5115 Lakeridge Pkwy
Suite 170
Grand Prairie, TX 75052-3003

Mailing address

5115 Lakeridge Pkwy
Suite 170
Grand Prairie, TX 75052-3003
Phone (972) 522-7777

National Provider Directory

National Provider Directory

Locations

5115 Lake Ridge Pkwy
Ste 170
Grand Prairie, TX 75052
Phone (972) 522-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1225331747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 LAKERIDGE PKWY",
            "address_2": "SUITE 170",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523003",
            "telephone_number": "972-522-7777",
            "fax_number": "972-522-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 LAKERIDGE PKWY",
            "address_2": "SUITE 170",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523003",
            "telephone_number": "972-522-7777",
            "fax_number": "972-522-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC & WELLNESS CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "BASKEN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "510-378-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.