Individual provider Active NPI

Flor Guadalupe Cordova

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1457112146
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15887 Issued in TX
Practice address
3334 N Town East Blvd
Mesquite, TX 75150-3858
Phone
(972) 681-8321
Fax
(972) 613-8927
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15887 TX Primary

Addresses

Primary practice location

3334 N Town East Blvd
Mesquite, TX 75150-3858

Mailing address

1109 Americana LN Apt 11303
Mesquite, TX 75150-4629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 550
Ingram, TX 78025

PO Box
Suite 550
Ingram, TX 78025-0550

PO Box
Suite 851570
Mesquite, TX 75185-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15887TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Clinic Chiropractor CurrentSince Mar 19, 2024 Accepting new patients
American Integrated Healthcare PLLC Chiropractor CurrentSince Mar 19, 2024 Accepting new patients
A Younique Wellness Care Clinic PastSince Jan 21, 2024 Accepting new patients

Locations

3334 N Town East Blvd
Ste 102
Mesquite, TX 75150
Phone (972) 681-8321

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1457112146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 AMERICANA LN APT 11303",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503858",
            "telephone_number": "972-681-8321",
            "fax_number": "972-613-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "FLOR",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.