Chiro One Wellness Center of Carrollton PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009501 Issued in IL

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

Last updated

Jun 21, 2013By 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

Sam WangNPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

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.

• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  Authorized official Same address or phone

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": []
}

• David M. Chihal, M.D.
• Helen Jane Chihal, M.D.
• Latezia Monet Childs, PTA
• Marianne In Chingbingyong, MSC, DSC
• Suma Stanly Chirayath
• Kyu Sang Cho, RN
• Paula Cho, NP
• Tim Cho
• Thomas Wayne Choate, DDS
• Vidyasagar Chodimella, MD

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

• 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.

Verify at the official NPI Registry.