Organization Active NPI

Bone & Spine Specialists

Doing business as Alexander Chiropractic and Sports Rehab

  • Chiropractor
  • Plano, TX
National Provider Identifier
1407096340
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6832 Issued in TX
Legal business name
BONE & SPINE SPECIALISTS
Doing business as
Alexander Chiropractic and Sports Rehab
Practice address
5425 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4333
Phone
(972) 899-9797
Fax
(469) 771-0268
NPI assigned
Mar 5, 2009
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Dr. Trace Lawrence Alexander, D.C.NPI 1952307845
Title
Owner/Chiropractor
Phone
(972) 899-9797

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6832 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4333

Mailing address

PO Box 118917
Carrollton, TX 75011-8917
Phone (972) 899-9797

Other practice location 1

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812
Phone (972) 899-9797

Other identifiers 1

IdentifierTypeStateIssuer
1952307845OtherTXNPI - TYPE I

Other names 2

  • Alexander Chiropractic and Sports Rehab Doing business as
  • Trace Alexander Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000426 TX Part B Supplier - Clinic/Group Practice 4789732009 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX; Addison, TX

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1407096340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118917",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118917",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244333",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16633 Dallas Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016812",
            "country_code": "US",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONE & SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-899-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE I",
            "identifier": "1952307845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Chiropractic and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trace Alexander Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.