Organization Active NPI

Chiropractic Neurology Center, PC

  • Chiropractor
  • Mineral Wells, TX
National Provider Identifier
1346327780
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6493 Issued in TX
Legal business name
CHIROPRACTIC NEUROLOGY CENTER, PC
Practice address
112 SE 4TH Ave
Mineral Wells, TX 76067-5341
Phone
(940) 325-0077
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. David Turk, DC, DACNBNPI 1699854547
Title
President
Phone
(940) 325-0077

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 DC6493 TX Primary

Addresses

Primary practice location

112 SE 4TH Ave
Mineral Wells, TX 76067-5341

Mailing address

112 SE 4TH Ave
Mineral Wells, TX 76067-5341
Phone (940) 325-0077

Other identifiers 1

IdentifierTypeStateIssuer
8A2260OtherTXBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000104 TX Part B Supplier - Clinic/Group Practice 8527124965 Receives reassigned benefits from 1 practitioner
Practice locations: Mineral Wells, TX

National Provider Directory

National Provider Directory

Locations

112 SE 4th Ave
Mineral Wells, TX 76067
Phone (940) 325-0077

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1346327780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SE 4TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675341",
            "telephone_number": "940-325-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SE 4TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675341",
            "telephone_number": "940-325-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC NEUROLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "TURK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-325-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACNB"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8A2260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.