Payne Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9817 Issued in TX

Legal business name

PAYNE CHIROPRACTIC, PA

Doing business as

Innovate Health

Practice address

4821 Merlot Ave Unit 240
Grapevine, TX 76051-7386

Phone

(817) 329-3552

Fax

(817) 329-3555

NPI assigned

Jan 4, 2008

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gen Eisan

Title

Delegated Official/Billing Manager

Phone

(817) 329-3552

Specialties & licenses 1

Addresses

Other names 1

• Innovate Health 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, and the practitioner matching its NPPES authorized official.

• Richard Brett Payne, D.C.

  • Chiropractor
  • Grapevine, TX
  • NPI 1982799201
  Medicare reassignment NPD

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1598940967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 MERLOT AVE UNIT 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517386",
            "telephone_number": "817-329-3552",
            "fax_number": "817-329-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 MERLOT AVE UNIT 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517386",
            "telephone_number": "817-329-3552",
            "fax_number": "817-329-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "EISAN",
        "authorized_official_first_name": "GEN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL/BILLING MANAGER",
        "authorized_official_telephone_number": "817-329-3552"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovate Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pathway Speech and Language
• Patrick T. Roughneen, M.D,, P.a.
• Patrick T. Roughneen, M.D., P.a.
• Patrick T. Roughneen, M.D., P.a.
• Bailey Jean Patton, BCBA
• Gerald Gene Payne Jr., MD
• Presleigh Ann Payne, AT
• Richard Brett Payne, D.C.
• Peak Medical PLLC
• Barbara S Peavey, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.