Organization Active NPI

Life Chiropractic and Family Wellness PLLC

  • Chiropractor
  • Denison, TX
National Provider Identifier
1336337237
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10727 Issued in TX
Legal business name
LIFE CHIROPRACTIC AND FAMILY WELLNESS PLLC
Practice address
1430 W Crawford St
Denison, TX 75020-4228
Phone
(903) 463-5433
Fax
(903) 463-5434
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Bryan Keith Clay, D.C.
Title
Owner
Phone
(903) 463-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10727 TX Primary

Addresses

Primary practice location

1430 W Crawford St
Denison, TX 75020-4228

Mailing address

1430 W Crawford St
Denison, TX 75020-4228
Phone (903) 463-5433

National Provider Directory

National Provider Directory

Locations

1430 W Crawford St
Denison, TX 75020
Phone (903) 463-5433

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1336337237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 W CRAWFORD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204228",
            "telephone_number": "903-463-5433",
            "fax_number": "903-463-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W CRAWFORD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204228",
            "telephone_number": "903-463-5433",
            "fax_number": "903-463-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHIROPRACTIC AND FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-463-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.