WCCW Flint, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WCCW FLINT, LLC

Practice address

20071 State Highway 155 S
Ste 2
Flint, TX 75762

Phone

(903) 339-0010

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Zachary Leslie, DCNPI 1093756769

Title

Owner/President

Phone

(903) 339-0010

Specialties & licenses 1

Addresses

Other names 1

• Willow Creek Chiropractic Doing business as

Locations

Practitioners 1

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

• Zachary Zane Leslie, DC

  • Chiropractor
  • Palestine, TX
  • NPI 1093756769
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1508459082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21721 PAGOSA RANCH RD",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757574109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20071 STATE HIGHWAY 155 S",
            "address_2": "STE 2",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "75762",
            "telephone_number": "903-339-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCCW FLINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "903-339-0010",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Flint, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.