Active NPI
Tara Geise, D.C.
- Chiropractor
- Southlake, TX
National Provider Identifier
1346543824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11516
- Practice address
- 325 Miron Dr
Suite #100
Southlake, TX 76092-7832 - Phone
- (469) 223-8836
- NPI assigned
- Dec 6, 2010
- Last updated
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11516 | TX | Primary |
Addresses
Primary practice location
325 Miron Dr
Suite #100
Southlake, TX 76092-7832
Mailing address
325 Miron Dr
Suite #100
Southlake, TX 76092-7832
Phone (469) 223-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1346543824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MIRON DR",
"address_2": "SUITE #100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927832",
"telephone_number": "469-223-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MIRON DR",
"address_2": "SUITE #100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927832",
"telephone_number": "469-223-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISE",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.