NPIMap

Organization Active NPI

Spinedoc LLC

  • Chiropractor
  • Perryton, TX
National Provider Identifier
1629346598
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6621 Issued in TX
Legal business name
SPINEDOC LLC
Practice address
2400 S Main St
Perryton, TX 79070-5223
Phone
(806) 435-6533
Fax
(806) 435-2669
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Jarel Whitehead, DCNPI 1205963592
Title
Owner
Phone
(806) 435-6533

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
Chiropractor 111N00000X 6621 TX Primary

Addresses

Primary practice location

2400 S Main St
Perryton, TX 79070-5223

Mailing address

2403 Utica LN
Perryton, TX 79070-5850
Phone (806) 435-6533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1629346598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 UTICA LN",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705850",
            "telephone_number": "806-435-6533",
            "fax_number": "806-435-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MAIN ST",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705223",
            "telephone_number": "806-435-6533",
            "fax_number": "806-435-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JAREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-435-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.