NPIMap

Organization Active NPI

Core Activated Rehab L.L.C.

  • Chiropractor
  • Coppell, TX
National Provider Identifier
1427356591
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11687 Issued in TX
Legal business name
CORE ACTIVATED REHAB L.L.C.
Practice address
801 Hammond St. Suite 100
Coppell, TX 75019
Phone
(985) 713-1173
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Jason Charles Mareno, D.C.
Title
Managing Member/Owner
Phone
(985) 713-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 11687 TX Primary

Addresses

Primary practice location

801 Hammond St. Suite 100
Coppell, TX 75019

Mailing address

801 Hammond St. Suite 100
Coppell, TX 75019

National Provider Directory

National Provider Directory
Tax ID family
Core Activated Rehab 3 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Hammond St
Ste 100
Coppell, TX 75019
Phone (985) 713-1173

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1427356591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HAMMOND ST. SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAMMOND ST. SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "985-713-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ACTIVATED REHAB L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "MARENO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "985-713-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.