NPIMap

Organization Active NPI

Metroplex Chiropractic

  • Chiropractor
  • Garland, TX
National Provider Identifier
1669512216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5567 Issued in TX
Legal business name
METROPLEX CHIROPRACTIC
Practice address
4702 Northwest Hwy
Garland, TX 75043-4912
Phone
(972) 686-7400
Fax
(972) 613-9390
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glen Ric Johnson, D.C.NPI 1720138399
Title
Chiropractor
Phone
(972) 686-7400

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5567 TX Primary

Addresses

Primary practice location

4702 Northwest Hwy
Garland, TX 75043-4912

Mailing address

4702 Northwest Hwy
Garland, TX 75043-4912
Phone (972) 686-7400

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669512216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-686-7400",
            "fax_number": "972-613-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434912",
            "telephone_number": "972-686-7400",
            "fax_number": "972-613-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "RIC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-686-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • 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.