Organization Active NPI

Elite Pain Management and Rehab

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1689809063
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE PAIN MANAGEMENT AND REHAB
Practice address
6300 Samuell Blvd # 145
Dallas, TX 75228-7137
Phone
(214) 751-8960
Fax
(214) 751-8965
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Jose Magbag, D.C.
Title
Owner
Phone
(713) 459-1894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X TX Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X TX

Addresses

Primary practice location

6300 Samuell Blvd # 145
Dallas, TX 75228-7137

Mailing address

6300 Samuell Blvd # 145
Dallas, TX 75228-7137
Phone (214) 751-8960

National Provider Directory

National Provider Directory

Locations

6300 Samuell Blvd
#145
Dallas, TX 75228
Phone (214) 751-8960

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1689809063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD # 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287137",
            "telephone_number": "214-751-8960",
            "fax_number": "214-751-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD # 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287137",
            "telephone_number": "214-751-8960",
            "fax_number": "214-751-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN MANAGEMENT AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MAGBAG",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-459-1894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 28, 2009; 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.