Organization Active NPI

Experience Life Chiropractic LLC

  • Chiropractor
  • Richmond, TX
National Provider Identifier
1487124541
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EXPERIENCE LIFE CHIROPRACTIC LLC
Practice address
9115 FM 723 Rd
Suite 850
Richmond, TX 77406
Phone
(346) 291-8433
NPI assigned
Dec 3, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Dr. Daryn McCarter, DCNPI 1578033635
Title
Owner
Phone
(346) 291-8433

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

9115 FM 723 Rd
Suite 850
Richmond, TX 77406

Mailing address

9115 FM 723 Rd
Suite 850
Richmond, TX 77406
Phone (346) 291-8433

National Provider Directory

National Provider Directory

Locations

9115 FM 723 Rd
Ste 280
Richmond, TX 77406
Phone (346) 291-8433

9115 FM 723 Rd
Ste 850
Richmond, TX 77406
Phone (346) 291-8433

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1487124541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD",
            "address_2": "SUITE 850",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "346-291-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD",
            "address_2": "SUITE 850",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "346-291-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCARTER",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-291-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.