100 Chiro Fort Worth PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO FORT WORTH PLLC

Practice address

3251 Tracewood Way Ste 121
Fort Worth, TX 76177-1747

Phone

(719) 217-0895

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By 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

Brandon Livingood, DC

Title

Owner

Phone

(719) 217-0895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1629839162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20551 N PIMA RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 TRACEWOOD WAY STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771747",
            "telephone_number": "719-217-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO FORT WORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "LIVINGOOD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-217-0895",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.