Organization Active NPI

Buckner 30 Chiropractic Clinic, Inc.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1285787127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCKNER 30 CHIROPRACTIC CLINIC, INC.
Practice address
3040 N Buckner Blvd
Suite 102
Dallas, TX 75228-5282
Phone
(214) 660-0016
NPI assigned
Jan 22, 2007
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
Buffie L Rome IV
Title
Exectuive Assistant
Phone
(504) 467-0302

Specialties & licenses 1

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

Addresses

Primary practice location

3040 N Buckner Blvd
Suite 102
Dallas, TX 75228-5282

Mailing address

1919 Veterans Blvd
Suite 200
Kenner, LA 70062

National Provider Directory

National Provider Directory

Locations

3040 N Buckner Blvd
Ste 102
Dallas, TX 75228
Phone (214) 660-0016

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285787127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS BLVD",
            "address_2": "SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N BUCKNER BLVD",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285282",
            "telephone_number": "214-660-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER 30 CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECTUIVE ASSISTANT",
        "authorized_official_telephone_number": "504-467-0302",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, 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.