Body, Mind & Spine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BODY, MIND & SPINE CHIROPRACTIC LLC

Doing business as

Body Mind & spine chiropractic

Practice address

9325 Tarver Dr Ste C-102
Temple, TX 76502-6162

Phone

(806) 781-8644

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Chase Johnson, D.C.NPI 1871878298

Title

Owner

Phone

(254) 313-0086

Specialties & licenses 1

Addresses

Other names 1

• Body Mind & spine chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Chase Johnson, D.C.

  • Chiropractor
  • Temple, TX
  • NPI 1871878298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1598336919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR STE C-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "254-313-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR STE C-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "806-781-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY, MIND & SPINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-313-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Mind & spine chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Addo Boadu, MD
• Jerome Kwesi Boatey, MD
• Sailatha Bobba, MD
• Jasmine R Bobbitt, PHARMD
• Aayush Boddu
• Robin Nicole Boeck, M.D.
• Karla Boeta-Lopez, MD
• Carl David Boethel, M.D.
• Vanessa Jean Boggiano, DO
• Jennifer Cherry Bohannan

• Chiropractor in Temple, TX
• Providers in Temple, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.