Organization Active NPI

Sow Graceful Chiropractic LLC

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1295576437
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOW GRACEFUL CHIROPRACTIC LLC
Practice address
1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209
Phone
(469) 454-0430
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Janair Osarollor, DCNPI 1508352162
Title
Owner
Phone
(469) 471-8457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X

Addresses

Primary practice location

1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209

Mailing address

1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209
Phone (469) 454-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611000456 TX Part B Supplier - Clinic/Group Practice 2466994090 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, TX

National Provider Directory

National Provider Directory

Locations

1229 E Pleasant Run Rd
Ste 322
Desoto, TX 75115
Phone (469) 454-0430

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1295576437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 322",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-454-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 322",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-454-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOW GRACEFUL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "OSAROLLOR",
        "authorized_official_first_name": "JANAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-471-8457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.