Chirodoctor P a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9263 Issued in TX

Legal business name

CHIRODOCTOR P A

Practice address

16135 Preston Rd
Ste. 127
Dallas, TX 75248-3599

Phone

(972) 867-7463

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shelby G Douglas, DCNPI 1063415628

Title

President

Phone

(972) 867-7463

Specialties & licenses 1

Addresses

Other names 1

• The Spine Clinic Doing business as

Locations

Practitioners 1

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

• Shelby Douglas, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1063415628
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1285798371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD",
            "address_2": "STE. 127, BOX 37",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483599",
            "telephone_number": "972-867-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD",
            "address_2": "STE. 127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483599",
            "telephone_number": "972-867-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRODOCTOR P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-867-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lessley Chiriboga, M.D.
• Takudzwa Gabriel Chiriva
• Chiro Med, Inc
• Chiro One Wellness Center of Addison PLLC
• Chiro One Wellness Center of Highland Park PLLC
• Chiromassage Chiropractic Center
• Chiromed Healthcare, PA
• Chiropractic & Acupuncture Pain Management Clinic, PLLC
• Chiropractic Energy, Health & Wellness, PLLC
• Chirosport Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.