Neely Chiropractic & Sport, PLLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13101 Issued in TX

Legal business name

NEELY CHIROPRACTIC & SPORT, PLLC.

Practice address

1666 N Hampton Rd
Suite 111
Desoto, TX 75115-2390

Phone

(469) 547-2032

NPI assigned

Nov 8, 2016

Last updated

Nov 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Demon Neely, DCNPI 1710342217

Title

Owner

Phone

(469) 547-2032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Demon Neely, DC

  • Chiropractor
  • Desoto, TX
  • NPI 1710342217
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1346782380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD",
            "address_2": "SUITE 111",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "469-547-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 N HAMPTON RD",
            "address_2": "SUITE 111",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152390",
            "telephone_number": "469-547-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELY CHIROPRACTIC & SPORT, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "DEMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-547-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Nangia, MD
• Camille Larae Naragon, PTA
• Nas Home Healthcare
• Ncot Inc (Nursing Care of Texas)
• Indigo Neal, FNP-C
• Neely Total Health & Wellness LLC
• Demon Neely, DC
• Nelco Enterprises, LLC (Nelco Transport)
• Gloria Jean Nelson, RN
• Leslie Nelson, MD

• Chiropractor in Desoto, TX
• Providers in Desoto, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.