NPIMap

Organization Active NPI

New Beginnings Concierge Service,Inc.

  • Pediatric Chiropractor
  • Fort Worth, TX
National Provider Identifier
1669861415
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
9557 Issued in TX
Legal business name
NEW BEGINNINGS CONCIERGE SERVICE,INC.
Practice address
11751 Alta Vista Rd
Suite 201
Fort Worth, TX 76244-6441
Phone
(817) 431-4242
Fax
(817) 977-8880
NPI assigned
Jan 16, 2015
Last updated
Sep 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. Chandra Lee Crisp, D.C.
Title
Owner
Phone
(817) 431-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 9557 TX Primary

Addresses

Primary practice location

11751 Alta Vista Rd
Suite 201
Fort Worth, TX 76244-6441

Mailing address

11751 Alta Vista Rd
Suite 201
Fort Worth, TX 76244-6441
Phone (817) 431-4242

Other identifiers 1

IdentifierTypeStateIssuer
606646OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

5000 Western Center Blvd
Haltom City, TX 76137

420 Johnson Rd
Keller, TX 76248
Phone (817) 431-4242

420 Johnson Rd
Ste 203
Keller, TX 76248

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1669861415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-431-4242",
            "fax_number": "817-977-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD",
            "address_2": "SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "817-431-4242",
            "fax_number": "817-977-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS CONCIERGE SERVICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-431-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "9557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606646",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.