Organization Active NPI

Dcmdpa

  • Rehabilitation Chiropractor
  • Dallas, TX
National Provider Identifier
1366517815
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5870 Issued in TX
Legal business name
DCMDPA
Doing business as
Buckner Back & Neck Clinic
Practice address
2306 S Buckner Blvd
Dallas, TX 75227-8605
Phone
(214) 275-4124
Fax
(214) 275-4408
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Marsha Rae Miller, DC
Title
Representative
Phone
(214) 275-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 5870 TX Primary

Addresses

Primary practice location

2306 S Buckner Blvd
Dallas, TX 75227-8605

Mailing address

2306 S Buckner Blvd
Dallas, TX 75227-8605
Phone (214) 275-4124

Other names 1

  • Buckner Back & Neck Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buckner Back and Neck2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2306 S Buckner Blvd
Dallas, TX 75227
Phone (214) 275-4124

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1366517815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278605",
            "telephone_number": "214-275-4124",
            "fax_number": "214-275-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278605",
            "telephone_number": "214-275-4124",
            "fax_number": "214-275-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCMDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "214-275-4124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckner Back & Neck Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.