NPIMap

Organization Active NPI

Jose L Gradilla

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1497988422
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10167 Issued in TX
Legal business name
JOSE L GRADILLA
Practice address
1120 W Main St
Lewisville, TX 75067-3426
Phone
(972) 353-4216
Fax
(972) 219-7170
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Jose L Gradilla, DCNPI 1679674600
Title
Owner
Phone
(972) 353-4216

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10167 TX Primary

Addresses

Primary practice location

1120 W Main St
Lewisville, TX 75067-3426

Mailing address

1120 W Main St
Lewisville, TX 75067-3426
Phone (972) 353-4216

Other names 1

  • CHIROPRACTIC CONNECTION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1497988422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673426",
            "telephone_number": "972-353-4216",
            "fax_number": "972-219-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673426",
            "telephone_number": "972-353-4216",
            "fax_number": "972-219-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L GRADILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "GRADILLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-353-4216",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIROPRACTIC CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.