Chiropractic Center of Granbury, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC CENTER OF GRANBURY, INC.

Practice address

3008 E Highway 377
Granbury, TX 76049-7403

Phone

(817) 573-9009

Fax

(817) 573-9030

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Troy Glyn Shannon, D.C.NPI 1134109978

Title

Owner

Phone

(817) 573-9009

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.

• Troy G Shannon, DC

  • Chiropractor
  • Granbury, TX
  • NPI 1134109978
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1477699403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497403",
            "telephone_number": "817-573-9009",
            "fax_number": "817-573-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497403",
            "telephone_number": "817-573-9009",
            "fax_number": "817-573-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF GRANBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "GLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-573-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Keith Lee Clark, D.D.S.

• Chiropractor in Granbury, TX
• Providers in Granbury, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.