NPIMap

Organization Active NPI

Pni Rehab Centers, LLC

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1609126499
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7121 Issued in TX
Legal business name
PNI REHAB CENTERS, LLC
Practice address
363 W Main St
Lewisville, TX 75057-3867
Phone
(972) 436-4434
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Robert Dasilva, D.C.
Title
Member
Phone
(972) 436-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7121 TX Primary

Addresses

Primary practice location

363 W Main St
Lewisville, TX 75057-3867

Mailing address

363 W Main St
Lewisville, TX 75057-3867
Phone (972) 436-4434

Other identifiers 1

IdentifierTypeStateIssuer
605665MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Pain Injury Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1609126499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNI REHAB CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-436-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.