Organization Active NPI

Blessed Family Chiropractic, PLLC

  • Health Maintenance Organization
  • Georgetown, TX
National Provider Identifier
1558771790
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
12578 Issued in TX
Legal business name
BLESSED FAMILY CHIROPRACTIC, PLLC
Practice address
101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208
Phone
(512) 868-6900
Fax
(512) 868-6995
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Shauna Annie Wood, D.C
Title
Owner
Phone
(512) 876-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 12578 TX Primary

Addresses

Primary practice location

101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208

Mailing address

101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208
Phone (512) 868-6900

National Provider Directory

National Provider Directory

Locations

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1558771790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W COOPERATIVE WAY",
            "address_2": "SUITE 235",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268208",
            "telephone_number": "512-868-6900",
            "fax_number": "512-868-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W COOPERATIVE WAY",
            "address_2": "SUITE 235",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268208",
            "telephone_number": "512-868-6900",
            "fax_number": "512-868-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-876-3574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "12578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.