Organization Active NPI

Heart of Texas Chiropractic, Inc.

Doing business as Heart of Texas Health & Wellness

  • Chiropractor
  • Waco, TX
National Provider Identifier
1417097189
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5753 Issued in TX
Legal business name
HEART OF TEXAS CHIROPRACTIC, INC.
Doing business as
Heart of Texas Health & Wellness
Practice address
1545 Wooded Acres Dr
Waco, TX 76710-2838
Phone
(254) 776-1030
Fax
(254) 776-2832
NPI assigned
Feb 8, 2007
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. Marilyn F Goodman, D.C.NPI 1215077953
Title
President
Phone
(254) 776-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5753 TX Primary

Addresses

Primary practice location

1545 Wooded Acres Dr
Waco, TX 76710-2838

Mailing address

PO Box 7891
Waco, TX 76714-7891
Phone (254) 776-1030

Other identifiers 2

IdentifierTypeStateIssuer
0081DJOtherTXBLUE CROSS ID
0015950 01MedicaidTX

Other names 1

  • Heart of Texas Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1007 Wooded Acres Dr
Waco, TX 76710
Phone (254) 716-0750

1545 Wooded Acres Dr
Waco, TX 76710
Phone (254) 776-1030

Practitioners & affiliated clinicians

Practitioners 4

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1417097189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767147891",
            "telephone_number": "254-776-1030",
            "fax_number": "254-776-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WOODED ACRES DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102838",
            "telephone_number": "254-776-1030",
            "fax_number": "254-776-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-776-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "0081DJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015950  01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Texas Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.