Organization Active NPI

Chirohealth Medical and Ancillary Services, LLC

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1366899833
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC
Practice address
4112 Legacy Dr Ste 326
Frisco, TX 75034-0811
Phone
(214) 872-1232
NPI assigned
May 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Authorized official

Name
Mee Ok Kim, FNP-C
Title
President, Provider
Phone
(214) 872-1232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP123278 TX
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4112 Legacy Dr Ste 326
Frisco, TX 75034-0811

Mailing address

4112 Legacy Dr
Suite 326
Frisco, TX 75034-0810
Phone (214) 872-1232

Other names 1

  • Frisco Family Healthcare Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4112 Legacy Dr
Ste 326
Frisco, TX 75034
Phone (214) 872-1232

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": "1463270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1366899833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 LEGACY DR",
            "address_2": "SUITE 326",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340810",
            "telephone_number": "214-872-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LEGACY DR STE 326",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340811",
            "telephone_number": "214-872-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROHEALTH MEDICAL AND ANCILLARY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-15",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MEE OK",
        "authorized_official_title_or_position": "PRESIDENT, PROVIDER",
        "authorized_official_telephone_number": "214-872-1232",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP123278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco Family Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 2017; 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.