Forest Creek Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FOREST CREEK CHIROPRACTIC PLLC

Practice address

3309 Forest Creek Dr Unit 302
Round Rock, TX 78664-6168

Phone

(512) 436-8500

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Herbert Kellins, DC

Title

Owner

Phone

(512) 436-8500

Specialties & licenses 1

Addresses

Other names 1

• Forest Creek Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1407549819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 FOREST CREEK DR UNIT 302",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646168",
            "telephone_number": "512-436-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 FOREST CREEK DR UNIT 302",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646168",
            "telephone_number": "512-436-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CREEK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "KELLINS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-436-8500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Creek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Round Rock, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.