Cedar Creek Healthcare, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8867 Issued in TX

Legal business name

CEDAR CREEK HEALTHCARE, PC

Practice address

1833 W Main St
Gun Barrel City, TX 75156-4401

Phone

(903) 887-6155

Fax

(903) 887-6755

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soi SyNPI 1487652731

Title

Doctor

Phone

(903) 887-6155

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soi N Sy, DC

  • Chiropractor
  • Gun Barrel City, TX
  • NPI 1487652731
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316022346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-887-6155",
            "fax_number": "903-887-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-887-6155",
            "fax_number": "903-887-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "SOI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-887-6155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0049PC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X0010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Carter
• David Brian Casady, RPH
• Donald Wayne Caswell
• Crystal Cavazos, RN
• Cedar Creek Clinic, LLC
• Cedar Creek Wellness Group
• Shawntel Chamberland, PHYSICAL THERAPIST A
• Charles L. Heaton, MD, PA (Heaton Eye Associates)
• Children's Dental Depot PA
• Wandy Connolly, DMD

• Chiropractor in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Chiropractor in Texas

• 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.