Organization Active NPI

Palmercare Chiropractic Frisco LLC

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1558028506
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMERCARE CHIROPRACTIC FRISCO LLC
Practice address
12020 Teel Pkwy
Frisco, TX 75033-2053
Phone
(469) 287-2072
Fax
(469) 287-2082
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Casey Holm
Title
Cfo
Phone
(713) 829-7506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12020 Teel Pkwy
Frisco, TX 75033-2053

Mailing address

46169 Westlake Dr Ste 300
Sterling, VA 20165-5875
Phone (703) 421-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217002531 TX Part B Supplier - Clinic/Group Practice 6406228550 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

12020 Teel Pkwy
Ste 104
Frisco, TX 75033
Phone (469) 287-2072

12020 Teel Pkwy
Frisco, TX 75033
Phone (469) 287-2072

Practitioners & affiliated clinicians

Practitioners 3

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": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1558028506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "703-421-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 TEEL PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332053",
            "telephone_number": "469-287-2072",
            "fax_number": "469-287-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC FRISCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.