Organization Active NPI

Elder Chiropractic Clinic

  • Chiropractor
  • Longview, TX
National Provider Identifier
1336537240
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9483 Issued in TX
Legal business name
ELDER CHIROPRACTIC CLINIC
Practice address
1809 W Loop 281
Suite 104
Longview, TX 75604-2571
Phone
(903) 759-5557
Fax
(903) 297-3506
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Dr. Henson Kyle Stringer, D,C,NPI 1376577437
Title
Owner
Phone
(903) 759-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9483 TX Primary

Addresses

Primary practice location

1809 W Loop 281
Suite 104
Longview, TX 75604-2571

Mailing address

1809 W Loop 281
Suite 104
Longview, TX 75604-2571
Phone (903) 759-5557

National Provider Directory

National Provider Directory

Locations

1809 W Loop 281
Ste 104
Longview, TX 75604
Phone (903) 759-5557

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1336537240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W LOOP 281",
            "address_2": "SUITE 104",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042571",
            "telephone_number": "903-759-5557",
            "fax_number": "903-297-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W LOOP 281",
            "address_2": "SUITE 104",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042571",
            "telephone_number": "903-759-5557",
            "fax_number": "903-297-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "STRINGER",
        "authorized_official_first_name": "HENSON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-759-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.