Iasoto Chiropractic Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IASOTO CHIROPRACTIC WELLNESS CENTER

Practice address

1801 N Hampton Rd Ste 464
Desoto, TX 75115-2391

Phone

(469) 454-8248

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Ravyn Donielle Cotton, DC, MSFNNPI 1922869478

Title

Doctor of Chiropractic/ Owner

Phone

(214) 886-8576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Ravyn Donielle Cotton, DC, MSFN

  • Chiropractor
  • Desoto, TX
  • NPI 1922869478
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1528829256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 464",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "469-454-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 464",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "469-454-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IASOTO CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "RAVYN",
        "authorized_official_middle_name": "DONIELLE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "214-886-8576",
        "authorized_official_credential": "DC, MSFN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.