NPIMap

Organization Active NPI

Core Chiropractic and Physical Therapy

  • Chiropractor
  • Keller, TX
National Provider Identifier
1578741963
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9184 Issued in TX
Legal business name
CORE CHIROPRACTIC AND PHYSICAL THERAPY
Practice address
891 Keller Pkwy
Suite 101
Keller, TX 76248-2482
Phone
(972) 393-8067
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Brian Nimphius, D.C.
Title
Clinic Director
Phone
(972) 393-8067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9184 TX Primary

Addresses

Primary practice location

891 Keller Pkwy
Suite 101
Keller, TX 76248-2482

Mailing address

546 E Sandy Lake Rd
Suite 110
Coppell, TX 75019-5786
Phone (972) 393-8067

Other names 1

  • Sandy Lake Chiropractic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Core Chiropractic and Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1578741963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD",
            "address_2": "SUITE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195786",
            "telephone_number": "972-393-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 KELLER PKWY",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482482",
            "telephone_number": "972-393-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "NIMPHIUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "972-393-8067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Lake Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.