Organization Active NPI

White Rock Chiropractic Center

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1407003148
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6098 Issued in TX
Legal business name
WHITE ROCK CHIROPRACTIC CENTER
Practice address
10677 E Northwest Hwy Ste 100
Dallas, TX 75238-4899
Phone
(214) 328-2225
Fax
(214) 328-2227
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Larry Parent, DC
Title
Owner
Phone
(214) 328-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6098 TX Primary

Addresses

Primary practice location

10677 E Northwest Hwy Ste 100
Dallas, TX 75238-4899

Mailing address

10677 E Northwest Hwy Ste 100
Dallas, TX 75238-4899
Phone (214) 328-2225

Other names 1

  • White Rock Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191105001156 TX Part B Supplier - Clinic/Group Practice 5991037384 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

10677 E Northwest Hwy
Ste 100
Dallas, TX 75238
Phone (214) 328-2225

718 N Buckner Blvd
Ste 100
Dallas, TX 75218
Phone (214) 324-8988

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1407003148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10677 E NORTHWEST HWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384899",
            "telephone_number": "214-328-2225",
            "fax_number": "214-328-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10677 E NORTHWEST HWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384899",
            "telephone_number": "214-328-2225",
            "fax_number": "214-328-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROCK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-328-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Rock Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.