Organization Active NPI

Tarrent County Spine Institute

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1265538656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9831TX Issued in TX
Legal business name
TARRENT COUNTY SPINE INSTITUTE
Practice address
6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone
(817) 731-2102
Fax
(817) 731-2157
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph H Ysbrand, D.C.NPI 1033225461
Title
Owner
Phone
(817) 731-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC9831TX TX Primary

Addresses

Primary practice location

6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112

Mailing address

6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone (817) 731-2102

Other identifiers 1

IdentifierTypeStateIssuer
8V4990OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Texas Spine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

4388 W Green Oaks Blvd
Ste 101
Arlington, TX 76016
Phone (817) 478-3488

6789 Camp Bowie Blvd
Ft Worth, TX 76116
Phone (817) 731-2102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265538656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-731-2102",
            "fax_number": "817-731-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-731-2102",
            "fax_number": "817-731-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRENT COUNTY SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YSBRAND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-731-2102",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9831TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8V4990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.