Destination Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DESTINATION CHIROPRACTIC LLC

Practice address

8255 Longford Dr
Fort Worth, TX 76116-6925

Phone

(302) 690-3713

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tanner Jacob Kurz, DCNPI 1669244505

Title

Chiropractor

Phone

(302) 690-3713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Jacob Kurz, DC

  • Chiropractor
  • Grapevine, TX
  • NPI 1669244505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1447012836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 LONGFORD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166925",
            "telephone_number": "302-690-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 LONGFORD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166925",
            "telephone_number": "302-690-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "KURZ",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "302-690-3713",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Brenda Desire
• Madison Deskins, APRN-CNP
• Tammy Desko, M.A., LPC
• Keith F Desonier Jr., PA-C
• Fenelle Camille Desrosin-Alexandre, RN
• Destiny Medical Supplies Inc.,
• Detoelarization LLC
• Alliana Leigh Labis Detorio, DO
• Douglas Neil Detten
• Jeffrey Gaston Detweiler, M.D.

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.