Organization Active NPI

James H. Elder, III D.O., P.a.

  • Internist Chiropractor
  • Fort Worth, TX
National Provider Identifier
1376817486
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
N3630 Issued in TX
Legal business name
JAMES H. ELDER, III D.O., P.A.
Practice address
5900 Overton Ridge Blvd, Suite 110
C/O Trinityxpressmed
Fort Worth, TX 76132-2258
Phone
(817) 423-1477
Fax
(817) 423-1481
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. James H Elder III, D.O.
Title
President
Phone
(817) 637-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X N3630 TX Primary

Addresses

Primary practice location

5900 Overton Ridge Blvd, Suite 110
C/O Trinityxpressmed
Fort Worth, TX 76132-2258

Mailing address

5900 Overton Ridge Blvd, Suite 110
C/O Trinityxpressmed
Fort Worth, TX 76132-2258
Phone (817) 423-1477

National Provider Directory

National Provider Directory

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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1376817486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 OVERTON RIDGE BLVD, SUITE 110",
            "address_2": "C/O TRINITYXPRESSMED",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322258",
            "telephone_number": "817-423-1477",
            "fax_number": "817-423-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 OVERTON RIDGE BLVD, SUITE 110",
            "address_2": "C/O TRINITYXPRESSMED",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322258",
            "telephone_number": "817-423-1477",
            "fax_number": "817-423-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. ELDER, III D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-637-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "N3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.