Organization Active NPI

Salt and Light Chiropractic LLC

  • Chiropractor
  • Prosper, TX
National Provider Identifier
1619620671
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SALT AND LIGHT CHIROPRACTIC LLC
Practice address
210 S Preston Rd Ste 20B
Prosper, TX 75078-3070
Phone
(214) 338-0026
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Daniel R Delorimiere, DCNPI 1265184493
Title
Owner
Phone
(214) 338-0026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

210 S Preston Rd Ste 20B
Prosper, TX 75078-3070

Mailing address

210 S Preston Rd Ste 20B
Prosper, TX 75078-3070
Phone (214) 338-0026

Other practice location 1

1721 E Belt Line Rd Apt 312
Coppell, TX 75019-9613
Phone (469) 744-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222000051 TX Part B Supplier - Clinic/Group Practice 6305216078 Receives reassigned benefits from 2 practitioners
Practice locations: Prosper, TX

National Provider Directory

National Provider Directory

Locations

210 S Preston Rd
Ste 20B
Prosper, TX 75078
Phone (214) 338-0026

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1619620671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PRESTON RD STE 20B",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783070",
            "telephone_number": "214-338-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PRESTON RD STE 20B",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783070",
            "telephone_number": "214-338-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 E Belt Line Rd Apt 312",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750199613",
            "country_code": "US",
            "telephone_number": "469-744-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALT AND LIGHT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "DELORIMIERE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-338-0026",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.