NPIMap

Organization Active NPI

Irving Myotherapy LLC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1578894135
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IRVING MYOTHERAPY LLC
Practice address
612 N Story Rd
Suite 101
Irving, TX 75061-6764
Phone
(972) 514-6278
Fax
(469) 713-2444
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Jose Alejandro Soberanis, DC
Title
Therapy and Rehab Director
Phone
(972) 514-6278

Specialties & licenses 1

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

Addresses

Primary practice location

612 N Story Rd
Suite 101
Irving, TX 75061-6764

Mailing address

612 N Story Rd
Suite 101
Irving, TX 75061-6764
Phone (972) 514-6278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1578894135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N STORY RD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616764",
            "telephone_number": "972-514-6278",
            "fax_number": "469-713-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N STORY RD",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616764",
            "telephone_number": "972-514-6278",
            "fax_number": "469-713-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING MYOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "SOBERANIS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "THERAPY AND REHAB DIRECTOR",
        "authorized_official_telephone_number": "972-514-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 24, 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.