Organization Active NPI

Todd Elsner Enterprises, PLLC

  • Pediatric Chiropractor
  • Mansfield, TX
National Provider Identifier
1285863191
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
10640 Issued in TX
Legal business name
TODD ELSNER ENTERPRISES, PLLC
Practice address
1105 Alexis Court
Suite 101
Mansfield, TX 76063-7705
Phone
(817) 539-2288
Fax
(817) 539-2287
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Todd Matthew Elsner, D.C.
Title
President/Ceo
Phone
(817) 539-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X 10640 TX Primary

Addresses

Primary practice location

1105 Alexis Court
Suite 101
Mansfield, TX 76063-7705

Mailing address

1105 Alexis Court
Suite 101
Mansfield, TX 76063-7705
Phone (817) 539-2288

Other names 1

  • Advanced Wellness Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

500 E Broad St
Ste 200
Mansfield, TX 76063
Phone (817) 539-2288

1105 Alexis Ct
Ste 101
Mansfield, TX 76063
Phone (817) 539-2288

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1285863191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ALEXIS COURT",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637705",
            "telephone_number": "817-539-2288",
            "fax_number": "817-539-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ALEXIS COURT",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637705",
            "telephone_number": "817-539-2288",
            "fax_number": "817-539-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD ELSNER ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "ELSNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "817-539-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "10640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Wellness Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.