Chirosport Health, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10069 Issued in TX

Legal business name

CHIROSPORT HEALTH, PLLC

Practice address

1546 Stacy Rd Ste 170
Allen, TX 75002-8728

Phone

(972) 430-3040

Fax

(972) 430-3044

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Joshua Edwards, DCNPI 1962542084

Title

Owner/DC

Phone

(214) 284-9360

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Impact ChiroSport Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Joshua Cade Edwards, D.C.

  • Chiropractor
  • Allen, TX
  • NPI 1962542084
  NPD Authorized official

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1306166145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 HOWELL ST",
            "address_2": "4201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041104",
            "telephone_number": "214-284-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028728",
            "telephone_number": "972-430-3040",
            "fax_number": "972-430-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROSPORT HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "214-284-9360",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10069",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@impactchirosport.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "information",
            "address_1": "1546 Stacy Rd Ste 170",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750028728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Impact ChiroSport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramya Chigurupati, DMD
• Child and Adolescent Center, PA
• Mike Gla Chirachanchai, M.D.
• Chiro Concepts of Allen, PLLC
• Chiro One Wellness Center of Allen PLLC
• Amy Lenee Chisholm, PA-C
• Kavita A Chitale, FNP
• Deanne Chitwood
• Christian Care Senior Living Community - Allen
• Katyna Christian, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.