Fusion Chiropractic Spa

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9107 Issued in TX

Legal business name

FUSION CHIROPRACTIC SPA

Practice address

9191 Kyser Way
Suite 605
Frisco, TX 75034

Phone

(469) 362-6461

Fax

(469) 362-6475

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Trevin Montgomery Fugere, D.C.

Title

President

Phone

(469) 362-6461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295955516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY",
            "address_2": "SUITE 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-362-6461",
            "fax_number": "469-362-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY",
            "address_2": "SUITE 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-362-6461",
            "fax_number": "469-362-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION CHIROPRACTIC SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUGERE",
        "authorized_official_first_name": "TREVIN",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-362-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.