Organization Active NPI

Corecare Chiropractic and Wellness PLLC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1679443469
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORECARE CHIROPRACTIC AND WELLNESS PLLC
Practice address
5609 SW Green Oaks Blvd Ste 102
Arlington, TX 76017-1153
Phone
(817) 483-3975
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Loan Pham Van, DCNPI 1811736523
Title
Owner
Phone
(817) 368-8138

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

5609 SW Green Oaks Blvd Ste 102
Arlington, TX 76017-1153

Mailing address

5609 SW Green Oaks Blvd Ste 102
Arlington, TX 76017-1153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260308000025 TX Part B Supplier - Clinic/Group Practice 5799267787 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

5609 SW Green Oaks Blvd
Ste 100
Arlington, TX 76017

5609 SW Green Oaks Blvd
Ste 102
Arlington, TX 76017
Phone (817) 483-3975

Practitioners & affiliated clinicians

Practitioners 2

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": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1679443469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171153",
            "telephone_number": "817-483-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORECARE CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-368-8138",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.