Organization Active NPI

Generational Chiropractic

  • Chiropractor
  • Weatherford, TX
National Provider Identifier
1346946514
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENERATIONAL CHIROPRACTIC
Practice address
2541 Doe Run
Weatherford, TX 76087-1901
Phone
(214) 773-2673
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Blake LundayNPI 1629774120
Title
Owner
Phone
(929) 456-1120

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 Primary

Addresses

Primary practice location

2541 Doe Run
Weatherford, TX 76087-1901

Mailing address

2541 Doe Run
Weatherford, TX 76087-1901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626003677 TX Part B Supplier - Clinic/Group Practice 0143764563 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

925 Santa Fe Dr
Ste 109
Weatherford, TX 76086
Phone (682) 262-1114

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1346946514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 DOE RUN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760871901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 DOE RUN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760871901",
            "telephone_number": "214-773-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LUNDAY",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-456-1120"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.