NPIMap

Organization Active NPI

Forever Young Chiropractic, LLC

  • Pediatric Chiropractor
  • Flower Mound, TX
National Provider Identifier
1386121200
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
13385 Issued in TX
Legal business name
FOREVER YOUNG CHIROPRACTIC, LLC
Practice address
4305 Windsor Centre Trail
Suite 100
Flower Mound, TX 75028
Phone
(469) 444-3220
Fax
(469) 444-3222
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Dr. Kelly Byrne, D.C.NPI 1336413608
Title
Doctor/Owner
Phone
(469) 444-3220

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
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X 13385 TX Primary

Addresses

Primary practice location

4305 Windsor Centre Trail
Suite 100
Flower Mound, TX 75028

Mailing address

4305 Windsor Centre Trail
Suite 100
Flower Mound, TX 75028
Phone (469) 444-3220

National Provider Directory

National Provider Directory

Locations

4305 Windsor Centre Trl
Ste 100
Flower Mound, TX 75028
Phone (469) 444-3220

Practitioners & affiliated clinicians

Practitioners 2

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": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1386121200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 WINDSOR CENTRE TRAIL",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "469-444-3220",
            "fax_number": "469-444-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 WINDSOR CENTRE TRAIL",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "469-444-3220",
            "fax_number": "469-444-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "469-444-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "13385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.