Level Up Forney

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEVEL UP FORNEY

Doing business as

Level Up Chiropractic

Practice address

11805 Classic Lane
Forney, TX, TX 75126

Phone

(682) 706-2058

NPI assigned

Oct 10, 2023

Last updated

Oct 10, 2023By 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

Matthew Nannie, DONPI 1457734477

Title

Owner

Phone

(309) 303-9939

Specialties & licenses 1

Addresses

Other names 1

• Level Up Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Matthew Nannie, D.C.

  • Chiropractor
  • Forney, TX, TX
  • NPI 1457734477
  Authorized official Same address or phone

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1265213821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SWINDON DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263645",
            "telephone_number": "309-303-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 CLASSIC LANE",
            "city": "FORNEY, TX",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "682-706-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP FORNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "NANNIE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-303-9939",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Level Up Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Nannie, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.