Organization Active NPI

Expressions Chiropractic & Rehab Center, PA

  • Chiropractor
  • Cedar Hill, TX
National Provider Identifier
1376685511
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9859 Issued in TX
Legal business name
EXPRESSIONS CHIROPRACTIC & REHAB CENTER, PA
Practice address
510 W FM 1382
Cedar Hill, TX 75104-5322
Phone
(972) 291-4455
Fax
(972) 291-5976
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Kirtland John Speaks, D.C.NPI 1346214806
Title
Owner
Phone
(972) 291-4455

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 9859 TX Primary

Addresses

Primary practice location

510 W FM 1382
Cedar Hill, TX 75104-5322

Mailing address

510 W FM 1382
Cedar Hill, TX 75104-5322
Phone (972) 291-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120529000432 TX Part B Supplier - Clinic/Group Practice 4880857911 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, TX; Cedar Hill, TX

National Provider Directory

National Provider Directory
Tax ID family
Expressions Chiropractic Rehab2 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

4740 W Mockingbird Ln
Ste 100B
Dallas, TX 75209
Phone (214) 350-2900

Practitioners & affiliated clinicians

Practitioners 3

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1376685511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045322",
            "telephone_number": "972-291-4455",
            "fax_number": "972-291-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W FM 1382",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045322",
            "telephone_number": "972-291-4455",
            "fax_number": "972-291-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS CHIROPRACTIC & REHAB CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SPEAKS",
        "authorized_official_first_name": "KIRTLAND",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-291-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.