Organization Active NPI

Parker Chiropractic Clinic, P.C.

  • Chiropractor
  • Irving, TX
National Provider Identifier
1538170337
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6739 Issued in TX
Legal business name
PARKER CHIROPRACTIC CLINIC, P.C.
Practice address
3719 N Belt Line Rd
Irving, TX 75038-5702
Phone
(972) 255-4443
Fax
(972) 255-9712
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. John S Parker, D.C.
Title
Co-Owner Chiropractor
Phone
(972) 255-4443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6739 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 8067 TX

Addresses

Primary practice location

3719 N Belt Line Rd
Irving, TX 75038-5702

Mailing address

3719 N Belt Line Rd
Irving, TX 75038-5702
Phone (972) 255-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001075 TX Part B Supplier - Clinic/Group Practice 6800866138 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory
Tax ID family
Parker Chiropractic Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4030 N Belt Line Rd
Irving, TX 75038
Phone (972) 255-4443

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1538170337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385702",
            "telephone_number": "972-255-4443",
            "fax_number": "972-255-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385702",
            "telephone_number": "972-255-4443",
            "fax_number": "972-255-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "972-255-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6739",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.