Active NPI
Justice Chukwuemeka Ezeani, DC
- Chiropractor
- Dallas, TX
National Provider Identifier
1508555129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15524
- Practice address
- 4051 Lyndon B Johnson Fwy Ste 190
Dallas, TX 75244-5710 - Phone
- (469) 264-5514
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15524 | TX | Primary |
Addresses
Primary practice location
4051 Lyndon B Johnson Fwy Ste 190
Dallas, TX 75244-5710
Mailing address
9840 N Macarthur Blvd Apt 1905
Irving, TX 75063-4713
Phone (512) 636-9856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15524 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1508555129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 N MACARTHUR BLVD APT 1905",
"city": "IRVING",
"state": "TX",
"postal_code": "750634713",
"telephone_number": "512-636-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 LYNDON B JOHNSON FWY STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445710",
"telephone_number": "469-264-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEANI",
"first_name": "JUSTICE",
"middle_name": "CHUKWUEMEKA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.