Texas Specific Gonstead Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TEXAS SPECIFIC GONSTEAD CHIROPRACTIC INC

Practice address

230 N Denton Tap Rd Ste 112
Coppell, TX 75019-2135

Phone

(972) 906-9986

Fax

(972) 906-9958

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Junesuk Lee, DCNPI 1467543926

Title

Owner

Phone

(927) 906-9986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Junesuk Lee, DC

  • Chiropractor
  • Coppell, TX
  • NPI 1467543926
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1225899214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP RD STE 112",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192135",
            "telephone_number": "972-906-9986",
            "fax_number": "972-906-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP RD STE 112",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192135",
            "telephone_number": "972-906-9986",
            "fax_number": "972-906-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPECIFIC GONSTEAD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNESUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "927-906-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Fae Ter Haar, D.H.
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• Divya P Thomas, MD
• Mini Thomas, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.