Eagle Chiropractic Wellness Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10775 Issued in TX

Legal business name

EAGLE CHIROPRACTIC WELLNESS CENTER, PC

Practice address

4708 W Plano Pkwy
#300
Plano, TX 75093-5333

Phone

(972) 265-8103

Fax

(972) 265-8110

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eagle Thomas Knife Chief, DC

Title

President

Phone

(580) 272-4169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1609011840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY",
            "address_2": "#300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935333",
            "telephone_number": "972-265-8103",
            "fax_number": "972-265-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY",
            "address_2": "#300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935333",
            "telephone_number": "972-265-8103",
            "fax_number": "972-265-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CHIROPRACTIC WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "KNIFE CHIEF",
        "authorized_official_first_name": "EAGLE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-272-4169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.