NPIMap

Organization Active NPI

With Purpose Health & Wellness Center

  • Pediatric Chiropractor
  • Keller, TX
National Provider Identifier
1396135265
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
12477 Issued in TX
Legal business name
WITH PURPOSE HEALTH & WELLNESS CENTER
Practice address
1858 E. Keller Pkwy
Suite C
Keller, TX 76248-3757
Phone
(940) 231-2980
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Jessica Martin, D.C.
Title
Owner
Phone
(940) 231-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X 12477 TX Primary

Addresses

Primary practice location

1858 E. Keller Pkwy
Suite C
Keller, TX 76248-3757

Mailing address

1858 E. Keller Parkway
Ste C
Keller, TX 76248
Phone (940) 231-2980

National Provider Directory

National Provider Directory

Locations

1858 Keller Pkwy
Ste C
Keller, TX 76248
Phone (817) 431-9911

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1396135265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 E. KELLER PARKWAY",
            "address_2": "STE C",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "940-231-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 E. KELLER PKWY",
            "address_2": "SUITE C",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483757",
            "telephone_number": "940-231-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH PURPOSE HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-231-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "12477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.