Organization Active NPI

Jennifer Pettibone DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1467786350
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5935 Issued in TX
Legal business name
JENNIFER PETTIBONE DC
Doing business as
BIOENERGETIC HEALTHCARE
Practice address
5720 LBJ Fwy
Suite 150
Dallas, TX 75240-6328
Phone
(972) 661-2378
Fax
(972) 233-7030
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Jennifer Pettibone, DCNPI 1952332868
Title
Owner
Phone
(972) 661-2378

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5935 TX Primary

Addresses

Primary practice location

5720 LBJ Fwy
Suite 150
Dallas, TX 75240-6328

Mailing address

5720 LBJ Fwy
Suite 150
Dallas, TX 75240-6328
Phone (972) 661-2378

Other names 1

  • BIOENERGETIC HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

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": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1467786350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 LBJ FWY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406328",
            "telephone_number": "972-661-2378",
            "fax_number": "972-233-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 LBJ FWY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406328",
            "telephone_number": "972-661-2378",
            "fax_number": "972-233-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PETTIBONE DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "PETTIBONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-661-2378",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIOENERGETIC HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.