NPIMap

Organization Active NPI

Elite Healthcare Garland

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Garland, TX
National Provider Identifier
1689811382
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
DC9727 Issued in TX
Legal business name
ELITE HEALTHCARE GARLAND
Practice address
4002 Broadway Blvd.
Suite 101
Garland, TX 75043
Phone
(214) 556-2150
Fax
(214) 556-2155
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Dr. Michael Vernon Adair, D.C.
Title
Doctor
Phone
(214) 556-2150

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC9727 TX
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X DC9727 TX
Physical Therapy Clinic/Center 261QP2000X PT1107050 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X DC9727 TX Primary

Addresses

Primary practice location

4002 Broadway Blvd.
Suite 101
Garland, TX 75043

Mailing address

PO Box 1210
Frisco, TX 75034
Phone (972) 720-9943

Other names 1

  • Tri-City Chiropractic and Rehabilitation Former legal business name

National Provider Directory

National Provider Directory

Locations

4002 Broadway Blvd
Ste 101
Garland, TX 75043
Phone (214) 556-2150

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1689811382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-720-9943",
            "fax_number": "972-720-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BROADWAY BLVD.",
            "address_2": "SUITE 101",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "214-556-2150",
            "fax_number": "214-556-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE GARLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-556-2150",
        "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": "DC9727",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC9727",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "PT1107050",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "DC9727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Chiropractic and Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.