Jeff Eidsvig D.C., PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

10334 Issued in TX

Legal business name

JEFF EIDSVIG D.C., PLLC

Practice address

5944 W Parker Rd
400
Plano, TX 75093-6421

Phone

(972) 309-2021

Fax

(972) 309-2023

NPI assigned

Dec 5, 2007

Last updated

Oct 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff C Eidsvig, D.C.

Title

Owner

Phone

(972) 309-2021

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1518149111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD",
            "address_2": "#400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936421",
            "telephone_number": "972-309-2021",
            "fax_number": "972-309-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD",
            "address_2": "400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936421",
            "telephone_number": "972-309-2021",
            "fax_number": "972-309-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF EIDSVIG D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "EIDSVIG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-309-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "10334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0088RA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.