Organization Active NPI

Dorn Care Chiropractic LTD

  • Chiropractor
  • Killeen, TX
National Provider Identifier
1679893077
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6987 Issued in TX
Legal business name
DORN CARE CHIROPRACTIC LTD
Practice address
3901 E Stan Schlueter Loop
Suite 205
Killeen, TX 76542-4516
Phone
(254) 690-7090
Fax
(254) 690-8850
NPI assigned
Jun 8, 2010
Reactivated
Oct 28, 2010
Last updated
Aug 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Ms. Kym Archie
Title
Billing Manager
Phone
(254) 690-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6987 TX Primary

Addresses

Primary practice location

3901 E Stan Schlueter Loop
Suite 205
Killeen, TX 76542-4516

Mailing address

3901 E Stan Schlueter Loop
Suite 205
Killeen, TX 76542-4516
Phone (254) 690-7090

Other identifiers 8

IdentifierTypeStateIssuer
87726OtherTXUNITED HEALTH CARE
84980OtherTXBLUE CROSS BLUE SHIELD
62413OtherTXMAILHANDLERS
44054OtherTXGEHA
60054OtherTXAETNA
62308OtherTXCIGNA
94999OtherTXFIRSTCARE
61101OtherTXHUMANA

National Provider Directory

National Provider Directory

Locations

3901 E Stan Schlueter Loop
Ste 205
Killeen, TX 76542
Phone (254) 690-7090

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1679893077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP",
            "address_2": "SUITE 205",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424516",
            "telephone_number": "254-690-7090",
            "fax_number": "254-690-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP",
            "address_2": "SUITE 205",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424516",
            "telephone_number": "254-690-7090",
            "fax_number": "254-690-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORN CARE CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2011-08-10",
        "deactivation_date": "2010-08-09",
        "reactivation_date": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "KYM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "254-690-7090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "87726",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84980",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "62413",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "44054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "62308",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "94999",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.