Organization Active NPI

Texas Gonstead, LLC

  • Chiropractor
  • Coppell, TX
National Provider Identifier
1265675409
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F008545 Issued in TX
Legal business name
TEXAS GONSTEAD, LLC
Practice address
230 N Denton Tap Rd
Suite 112
Coppell, TX 75019-2134
Phone
(972) 906-9986
Fax
(972) 906-9958
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Junesuk Lee, D.C.
Title
Doctor of Chiropractic
Phone
(972) 906-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F008545 TX Primary

Addresses

Primary practice location

230 N Denton Tap Rd
Suite 112
Coppell, TX 75019-2134

Mailing address

230 N Denton Tap Road
Suite 112
Coppell, TX 75019-2134
Phone (972) 906-9986

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1265675409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP ROAD",
            "address_2": "SUITE 112",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192134",
            "telephone_number": "972-906-9986",
            "fax_number": "972-906-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP RD",
            "address_2": "SUITE 112",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192134",
            "telephone_number": "972-906-9986",
            "fax_number": "972-906-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GONSTEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNESUK",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "972-906-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F008545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.