Organization Active NPI

Somatic Chiropractic, PA

Doing business as Pavillion Chiropractic

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1326156597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8863 Issued in TX
Legal business name
SOMATIC CHIROPRACTIC, PA
Doing business as
Pavillion Chiropractic
Practice address
7517 Campbell Rd Ste 606
Dallas, TX 75248-1762
Phone
(972) 930-9566
Fax
(972) 930-9710
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mitchell Shuchman Adam Shuchman, DC
Title
Owner
Phone
(972) 930-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8863 TX Primary

Addresses

Primary practice location

7517 Campbell Rd Ste 606
Dallas, TX 75248-1762

Mailing address

4607 Refugio Rd
Frisco, TX 75034-8495
Phone (972) 930-9566

Other names 1

  • PAVILLION CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

7517 Campbell Rd
Ste 606
Dallas, TX 75248
Phone (972) 930-9566

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326156597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 REFUGIO RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348495",
            "telephone_number": "972-930-9566",
            "fax_number": "972-930-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 CAMPBELL RD STE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481762",
            "telephone_number": "972-930-9566",
            "fax_number": "972-930-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUCHMAN",
        "authorized_official_first_name": "MITCHELL SHUCHMAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-930-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAVILLION CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • 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.