Organization Active NPI

Clairton Family Chiropractic LLC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1558783399
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12502 Issued in TX
Legal business name
CLAIRTON FAMILY CHIROPRACTIC LLC
Practice address
8333 Sohi Dr Ste 102
Fort Worth, TX 76137-3781
Phone
(817) 281-1400
Fax
(817) 281-1402
NPI assigned
Jan 14, 2014
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Bryan HenssNPI 1033531876
Title
Owner
Phone
(618) 334-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12502 TX Primary

Addresses

Primary practice location

8333 Sohi Dr Ste 102
Fort Worth, TX 76137-3781

Mailing address

8333 Sohi Dr Ste 102
Fort Worth, TX 76137-3781
Phone (817) 281-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001251 TX Part B Supplier - Clinic/Group Practice 2567693112 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory
Tax ID family
Clairton Family Chiropractic LLC2 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

3848 North Tarrant Pkwy
Ste 130
Fort Worth, TX 76244
Phone (817) 281-1400

8333 Sohi Dr
Ste 102
Fort Worth, TX 76137
Phone (817) 281-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1558783399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 SOHI DR STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373781",
            "telephone_number": "817-281-1400",
            "fax_number": "817-281-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 SOHI DR STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373781",
            "telephone_number": "817-281-1400",
            "fax_number": "817-281-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRTON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "HENSS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-334-3774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.