NPIMap

Organization Active NPI

Healthy Body Chiropractic PLLC

  • Chiropractor
  • Mansfield, TX
National Provider Identifier
1235378076
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9680 Issued in TX
Legal business name
HEALTHY BODY CHIROPRACTIC PLLC
Practice address
2400 Highway 287 N
Suite 104
Mansfield, TX 76063-4828
Phone
(817) 539-0044
Fax
(866) 317-9352
NPI assigned
Feb 18, 2009
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Marcelle Petry, D.C.NPI 1649281726
Title
Owner
Phone
(817) 539-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9680 TX Primary

Addresses

Primary practice location

2400 Highway 287 N
Suite 104
Mansfield, TX 76063-4828

Mailing address

2400 Highway 287 N
Suite 104
Mansfield, TX 76063-4828
Phone (817) 539-0044

National Provider Directory

National Provider Directory

Locations

2400 Highway 287 N
Ste 104
Mansfield, TX 76063
Phone (817) 539-0044

Practitioners & affiliated clinicians

Practitioners 5

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": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1235378076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 287 N",
            "address_2": "SUITE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634828",
            "telephone_number": "817-539-0044",
            "fax_number": "866-317-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 287 N",
            "address_2": "SUITE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634828",
            "telephone_number": "817-539-0044",
            "fax_number": "866-317-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BODY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "MARCELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-539-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.