Dr. Matt'S Wellness Center P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8459 Issued in TX

Legal business name

DR. MATT'S WELLNESS CENTER P.L.L.C.

Practice address

4031 W Plano Pkwy
Suite 201
Plano, TX 75093-5619

Phone

(972) 867-9900

Fax

(972) 867-9932

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Izmit Kulafofski, D.C.NPI 1518135060

Title

Owner/Doctor

Phone

(972) 867-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Izmit Kulafofski, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1518135060
  Medicare reassignment NPD Authorized official
• Brandon Leon Adams, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1134363047
  NPD (past)
• Jacqueline Ann Romanies, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1184169351
  NPD (past)
• Brent Sather, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1558790139
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1487988069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "972-867-9900",
            "fax_number": "972-867-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "972-867-9900",
            "fax_number": "972-867-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATT'S WELLNESS CENTER P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "KULAFOFSKI",
        "authorized_official_first_name": "IZMIT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "972-867-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.