Cherry Lane Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3062 Issued in TX

Legal business name

CHERRY LANE CHIROPRACTIC, INC.

Practice address

2603 S Cherry LN
Fort Worth, TX 76116-3919

Phone

(817) 560-1625

Fax

(817) 560-1627

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Scott, D.C.NPI 1720192982

Title

Owner

Phone

(817) 560-1625

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• John Michael Scott, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1720192982
  Medicare reassignment Care Compare group NPD Authorized official
• Kara Michelle Scott, DC

  • Chiropractor
  • Fort Worth, TX
  • NPI 1811613722
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1609020338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY LANE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-560-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "50ND",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Ann Chenoweth
• Lisa Mathew Cherian, PA
• Nikitha Alice Cherian, MSN, A-GNP-C
• Ruby Cherian, MD
• Michael Cherkassky, MD
• Jackie Cherry
• Kylie R Cherry, CPNP
• Paul Cherry, LPC, LCDC
• Kelly Marie Cherryhomes Cox, CCLS
• Sheva Khorrami Chervinskiy, DO

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.