Active NPI
Chiro One Wellness Center of Carrollton PLLC
- Chiropractor
- Carrollton, TX
National Provider Identifier
1245679307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009501
- Legal business name
- CHIRO ONE WELLNESS CENTER OF CARROLLTON PLLC
- Practice address
- 1008 W Hebron Pkwy
Ste 104
Carrollton, TX 75010-1124 - Phone
- (630) 468-1824
- Fax
- (630) 701-1007
- NPI assigned
- Jun 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Wang
- Title
- Coo
- Phone
- (630) 468-1824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009501 | IL | Primary |
Addresses
Primary practice location
1008 W Hebron Pkwy
Ste 104
Carrollton, TX 75010-1124
Mailing address
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824
National Provider Directory
National Provider DirectoryLocations
1008 W Hebron Pkwy
Ste 104
Carrollton, TX 75010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371772800000",
"number": "1245679307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 W HEBRON PKWY",
"address_2": "STE 104",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750101124",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF CARROLLTON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-21",
"last_updated": "2013-06-21",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "630-468-1824"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.