NPIMap

Organization Active NPI

Parker University

Doing business as Dallas or Irving Chiropractic Wellness Clinic

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1669582680
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARKER UNIVERSITY
Doing business as
Dallas or Irving Chiropractic Wellness Clinic
Practice address
2600 Electronic Lane
Dallas, TX 75220-1216
Phone
(972) 438-6932
Fax
(214) 902-3475
NPI assigned
Aug 30, 2006
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Mr. Patrick Bodnar, DCNPI 1619260742
Title
Director of Clinics
Phone
(972) 438-6932

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

2600 Electronic Lane
Dallas, TX 75220-1216

Mailing address

2540 Walnut Hill LN
Dallas, TX 75229-5609
Phone (972) 438-6932

Other identifiers 1

IdentifierTypeStateIssuer
0A5810OtherTXBC/BS

Other names 1

  • Dallas or Irving Chiropractic Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110001086 TX Part B Supplier - Clinic/Group Practice 7810945466 Receives reassigned benefits from 24 practitioners
Practice locations: Dallas, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

2500 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 350-1620

2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447

2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932

1190 Parker Sq
Flower Mound, TX 75028
Phone (972) 438-9355

111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1669582680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295609",
            "telephone_number": "972-438-6932",
            "fax_number": "214-902-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ELECTRONIC LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752201216",
            "telephone_number": "972-438-6932",
            "fax_number": "214-902-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICS",
        "authorized_official_telephone_number": "972-438-6932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0A5810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas or Irving Chiropractic Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.