Organization Active NPI

Etx Chiropractic, Inc

Doing business as Atlas Chiropractic

  • Clinic/Center
  • Longview, TX
National Provider Identifier
1487206900
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ETX CHIROPRACTIC, INC
Doing business as
Atlas Chiropractic
Practice address
1121 Evergreen St
Longview, TX 75604-2130
Phone
(903) 759-5567
Fax
(903) 759-5631
NPI assigned
Jul 15, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Dr. Craig Lynn Raschke, DC
Title
Owner/President
Phone
(817) 889-0983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1121 Evergreen St
Longview, TX 75604-2130

Mailing address

1121 Evergreen St
Longview, TX 75604-2130
Phone (903) 759-5567

Other identifiers 1

IdentifierTypeStateIssuer
1790103448OtherTXNPI

Other names 1

  • Atlas Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.chiropractorinlongview.com

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1487206900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 EVERGREEN ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042130",
            "telephone_number": "903-759-5567",
            "fax_number": "903-759-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 EVERGREEN ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042130",
            "telephone_number": "903-759-5567",
            "fax_number": "903-759-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETX CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "RASCHKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-889-0983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790103448",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.chiropractorinlongview.com",
            "affiliation": "N",
            "address_1": "1121 Evergreen St",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756042130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.