Organization Active NPI

William S. Uthlaut D.C.,P.C.

Doing business as Broadway Chiropractic

  • Chiropractor
  • Garland, TX
National Provider Identifier
1467755892
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2856 Issued in TX
Legal business name
WILLIAM S. UTHLAUT D.C.,P.C.
Doing business as
Broadway Chiropractic
Practice address
6450 Broadway Blvd
Garland, TX 75043-5943
Phone
(972) 226-2225
Fax
(972) 226-2238
NPI assigned
Dec 7, 2010
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Dr. William Stafford Uthlaut, D.C.
Title
President
Phone
(972) 226-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2856 TX Primary

Addresses

Primary practice location

6450 Broadway Blvd
Garland, TX 75043-5943

Mailing address

6450 Broadway Blvd
Garland, TX 75043-5943
Phone (972) 226-2225

Other names 1

  • Broadway Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6450 Broadway Blvd
Garland, TX 75043
Phone (972) 226-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, 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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1467755892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435943",
            "telephone_number": "972-226-2225",
            "fax_number": "972-226-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435943",
            "telephone_number": "972-226-2225",
            "fax_number": "972-226-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. UTHLAUT D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "UTHLAUT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STAFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-226-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.