Organization Active NPI

Telos Consulting, LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1245552736
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8250 Issued in TX
Legal business name
TELOS CONSULTING, LLC
Practice address
13701 Dallas Parkway
Dallas, TX 75240
Phone
(972) 386-2560
Fax
(972) 386-2528
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Brent Justice Darden
Title
Member-Manager
Phone
(972) 458-2582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8250 TX Primary

Addresses

Primary practice location

13701 Dallas Parkway
Dallas, TX 75240

Mailing address

13701 Dallas Parkway
Dallas, TX 75240
Phone (972) 386-2560

Other names 1

  • Chiro-Kenetics & Sports Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1245552736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 DALLAS PARKWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-386-2560",
            "fax_number": "972-386-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 DALLAS PARKWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-386-2560",
            "fax_number": "972-386-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JUSTICE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "972-458-2582"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro-Kenetics & Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.