Individual provider Active NPI

Logan J Mills, DC

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1356740740
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12718 Issued in TX
Practice address
12398 FM 423 Ste 300
Frisco, TX 75033-0154
Phone
(214) 872-4220
Fax
(214) 872-4240
NPI assigned
Aug 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12718 TX Primary

Addresses

Primary practice location

12398 FM 423 Ste 300
Frisco, TX 75033-0154

Mailing address

12398 FM 423 Ste 300
Frisco, TX 75033-0154
Phone (214) 872-4220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509000251 TX Practitioner - Chiropractic 2466839733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Medical of DFW LLCGroup PAC ID 8628451911, 3 clinicians

Practice addresses (Care Compare)

670 N Macarthur Blvd
Suite 100
Coppell, TX 75019-2732
Phone (972) 745-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Integrative Health Current Accepting new patients
LJ Mills, DC, PLLC Chiropractor Current Accepting new patients
Integrative Medical of DFW LLC CurrentSince Jun 15, 2024 Accepting new patients
Lifeclinic Chiropractic of Texas, LLC Chiropractor CurrentSince Mar 12, 2022 Accepting new patients

Locations

971 Sam Rayburn Tollway
Allen, TX 75013
Phone (214) 383-2259

670 N MacArthur Blvd
Ste 100
Coppell, TX 75019
Phone (972) 745-4446

4900 Throne Hall Dr
Frisco, TX 75033
Phone (469) 476-3900

12398 FM 423
Ste 300
Frisco, TX 75033
Phone (214) 872-4220

Organizations & group practices 4

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1356740740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330154",
            "telephone_number": "214-872-4220",
            "fax_number": "469-562-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330154",
            "telephone_number": "214-872-4220",
            "fax_number": "214-872-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LOGAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12718",
            "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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.