Southern Sidewinder Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERN SIDEWINDER INC

Practice address

4710 Preston Rd
Ste 308
Frisco, TX 75034-8546

Phone

(214) 494-4549

Fax

(214) 494-4585

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Glenn Robinson, DCNPI 1942423769

Title

Owner

Phone

(214) 494-4549

Specialties & licenses 1

Addresses

Other names 1

• Frisco Chiropractic 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.

• Glenn R Robinson, DC

  • Chiropractor
  • Frisco, TX
  • NPI 1942423769
  NPD (past) Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1285997973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 PRESTON RD",
            "address_2": "STE 308",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348546",
            "telephone_number": "214-494-4549",
            "fax_number": "214-494-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 PRESTON RD",
            "address_2": "STE 308",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348546",
            "telephone_number": "214-494-4549",
            "fax_number": "214-494-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SIDEWINDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-494-4549",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.