Odom Chiropractic Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DC5994 Issued in TX

Legal business name

ODOM CHIROPRACTIC CLINIC

Practice address

6125 Interstate 20
302
Fort Worth, TX 76132-3629

Phone

(817) 738-9777

Fax

(817) 738-8708

NPI assigned

Jan 26, 2009

Last updated

Jan 26, 2009By 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

Dr. Timothy E Odom, D.C

Title

Owner

Phone

(817) 738-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1619115995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 INTERSTATE 20",
            "address_2": "302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323629",
            "telephone_number": "817-738-9777",
            "fax_number": "817-738-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 INTERSTATE 20",
            "address_2": "302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323629",
            "telephone_number": "817-738-9777",
            "fax_number": "817-738-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODOM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-738-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "DC5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moses Odai, DO
• Odette Tomlinson, LPC-S Counseling PLLC
• Roy T Odhner, MA
• Clara Ifeyinwa Odili, NP
• Joseph Odion, PMHNP
• Timothy E Odom, D. C.
• Friday Odomore, FNP
• Lindsay M Oehlkers, PHARMD
• Kwan K Oei, MD
• Tracy L Oeller, PA

• Medical Specialty Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.