Pudnik, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5251 Issued in TX

Legal business name

PUDNIK, INC

Practice address

1514 N Greenville Ave
Ste 340
Allen, TX 75002-1202

Phone

(972) 325-4456

Fax

(972) 635-5293

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Larry Eckhardt, DC

Title

Owner

Phone

(972) 325-4456

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INNATE HEALTH CHIROPRACTOR Doing business as

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1477705689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CLEAR CREEK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022763",
            "telephone_number": "972-325-4456",
            "fax_number": "972-635-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N GREENVILLE AVE",
            "address_2": "STE 340",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021202",
            "telephone_number": "972-325-4456",
            "fax_number": "972-635-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUDNIK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ECKHARDT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-325-4456",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "603787",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNATE HEALTH CHIROPRACTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Dental Alliance of TX 43001 PLLC
• Prosper Therapy
• Proximity Assisted Living Services Inc.
• PT Care Inc
• PT Concepts of Allen, LLC
• Shana Pugh, PHYSICAL THERAPIST
• Laura Sofia Pumarejo-Gomez, MD
• Ankit D Punatar, MD
• Puren Clinic Inc
• Muhammad Rehan Puri, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.