Health Revolution, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11266 Issued in TX

Legal business name

HEALTH REVOLUTION, PC

Practice address

1816 S Main St Ste B3
Lindale, TX 75771-7707

Phone

(903) 882-8845

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Kristine Dunn, DC

Title

President

Phone

(903) 882-8845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1508186222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 S MAIN ST STE B3",
            "address_2": "PO BOX 2443",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717707",
            "telephone_number": "903-882-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 S MAIN ST STE B3",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717707",
            "telephone_number": "903-882-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH REVOLUTION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-882-8845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.