Organization Active NPI

Metroplex Advanced Healthcare Inc.

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1487848172
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6653 Issued in TX
Legal business name
METROPLEX ADVANCED HEALTHCARE INC.
Doing business as
Advanced Chiropractic & Sports Care
Practice address
1304 Glade Rd Ste 200
Colleyville, TX 76034-4284
Phone
(817) 428-7246
Fax
(817) 428-4436
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Jeffrey Alan Connors, D.C.NPI 1093829129
Title
Owner
Phone
(817) 428-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6653 TX Primary

Addresses

Primary practice location

1304 Glade Rd Ste 200
Colleyville, TX 76034-4284

Mailing address

1304 Glade Rd Ste 200
Colleyville, TX 76034-4284
Phone (817) 428-7246

Other names 1

  • Advanced Chiropractic & Sports Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706000646 TX Part B Supplier - Clinic/Group Practice 2769774108 Receives reassigned benefits from 1 practitioner
Practice locations: Colleyville, TX

National Provider Directory

National Provider Directory

Locations

1304 Glade Rd
Ste 200
Colleyville, TX 76034
Phone (817) 426-7346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1487848172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 GLADE RD STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344284",
            "telephone_number": "817-428-7246",
            "fax_number": "817-428-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 GLADE RD STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344284",
            "telephone_number": "817-428-7246",
            "fax_number": "817-428-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX ADVANCED HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-428-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic & Sports Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.