Individual provider Active NPI

Linda Oluchi Eberendu, D.C.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1356664049
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10952 Issued in TX
Practice address
9555 Lebanon Rd
Ste 801
Frisco, TX 75035-6095
Phone
(972) 712-0200
Fax
(972) 712-2303
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10952 TX Primary

Addresses

Primary practice location

9555 Lebanon Rd
Ste 801
Frisco, TX 75035-6095

Mailing address

1232 Apache Lake Dr
Carrollton, TX 75010-1166
Phone (972) 897-9905

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

State licenses

LicenseStateTypeSpecialty
10952TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Care Chiropractic Chiropractor Past Accepting new patients
Irst Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1356664049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 APACHE LAKE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101166",
            "telephone_number": "972-897-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 LEBANON RD",
            "address_2": "STE 801",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356095",
            "telephone_number": "972-712-0200",
            "fax_number": "972-712-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERENDU",
        "first_name": "LINDA",
        "middle_name": "OLUCHI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.