Organization Active NPI

Advanced Spinal Therapy

  • Chiropractor
  • Irving, TX
National Provider Identifier
1306152566
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11233 Issued in TX
Legal business name
ADVANCED SPINAL THERAPY
Practice address
1121 Kinwest Pkwy
Ste 100
Irving, TX 75063-3135
Phone
(972) 401-2345
Fax
(214) 522-9428
NPI assigned
Aug 26, 2010
Last updated
Aug 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Cody Zepeda, DC
Title
Owner
Phone
(972) 401-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11233 TX Primary

Addresses

Primary practice location

1121 Kinwest Pkwy
Ste 100
Irving, TX 75063-3135

Mailing address

1121 Kinwest Pkwy
Ste 100
Irving, TX 75063-3135
Phone (972) 401-2345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1306152566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-401-2345",
            "fax_number": "214-522-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-401-2345",
            "fax_number": "214-522-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-401-2345",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.