NPIMap

Organization Active NPI

Pudnik, Inc

Doing business as Innate Health Chiropractor

  • Chiropractor
  • Allen, TX
National Provider Identifier
1477705689
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5251 Issued in TX
Legal business name
PUDNIK, INC
Doing business as
Innate Health Chiropractor
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
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Larry Eckhardt, DCNPI 1902940851
Title
Owner
Phone
(972) 325-4456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5251 TX Primary

Addresses

Primary practice location

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

Mailing address

1413 Clear Creek Dr
Allen, TX 75002-2763
Phone (972) 325-4456

Other names 1

  • INNATE HEALTH CHIROPRACTOR 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, 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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNATE HEALTH CHIROPRACTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • 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.