Organization Active NPI

Pokorny Chiropractic Center, P.C.

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1467710053
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123042 Issued in TX
Legal business name
POKORNY CHIROPRACTIC CENTER, P.C.
Practice address
2214 W. Morton
Denison, TX 75020-1623
Phone
(903) 465-2225
Fax
(903) 465-1162
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. David M. Pokorny, FNPNPI 1902807043
Title
FNP
Phone
(903) 465-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4604 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 792625 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP123042 TX Primary

Addresses

Primary practice location

2214 W. Morton
Denison, TX 75020-1623

Mailing address

2214 W. Morton
Denison, TX 75020-1623
Phone (903) 465-2225

Other names 1

  • Texoma Physical Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000731 TX Part B Supplier - Clinic/Group Practice 8820250905 Receives reassigned benefits from 1 practitioner
Practice locations: Denison, TX

National Provider Directory

National Provider Directory

Locations

2214 W Morton St
Denison, TX 75020
Phone (903) 465-2225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1467710053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 W. MORTON",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201623",
            "telephone_number": "903-465-2225",
            "fax_number": "903-465-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 W. MORTON",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201623",
            "telephone_number": "903-465-2225",
            "fax_number": "903-465-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKORNY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "POKORNY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "903-465-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "792625",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.