Chiropractic Avenue & Physical Medicine, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9764 Issued in TX

Legal business name

CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.

Practice address

417 N Garland Ave
Garland, TX 75040-5646

Phone

(214) 703-0044

Fax

(214) 703-0691

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

John Phung, D.C.

Title

President

Phone

(214) 703-0044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619074697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405646",
            "telephone_number": "214-703-0044",
            "fax_number": "214-703-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405646",
            "telephone_number": "214-703-0044",
            "fax_number": "214-703-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-703-0044",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762247",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Chernyakhovsky, P.A.C.
• Paul David Cherry, PHD
• Obiora Junior Chike
• Jissy Jose Chirayath
• Chiro One Wellness Center of Garland PLLC
• Thomas Chiaho Chiu, M.D.
• Mark Yeong Hyun Choe, DDS
• Hongki Choi, D.M.D
• Pamala Chomik, OTR
• Lance M Chong, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.