Chiropractx, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11910 Issued in TX

Legal business name

CHIROPRACTX, PLLC

Practice address

12011 Bella Italia Dr Ste a
Fort Worth, TX 76126-6134

Phone

(817) 249-7333

NPI assigned

Nov 5, 2012

Last updated

Oct 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor K Koepke, DCNPI 1154693299

Title

Owner/Chiropractor

Phone

(817) 249-7333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Taylor K Koepke, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1154693299
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1689928178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 BELLA ITALIA DR STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266134",
            "telephone_number": "817-249-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 BELLA ITALIA DR STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266134",
            "telephone_number": "817-249-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KOEPKE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "817-249-7333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiro One Wellness Center of Fort Worth PLLC
• Chiro Plus Clinics South PA
• Chironet, L.L.C. (National Integrated HealthCare Group)
• Chiroplus North PC
• Chiropractic Health Center of Grand Prairie LLC
• Chirotech, Inc (Chirotech Chiropractic)
• Chisholm Trail E-Therapy and Counseling, PLLC
• Chisholm Trail Emergency Center (iCare Emergency Room)
• Chisholm Trail Oral Surgery PLLC
• Chisholm Trail Orthopedics & Sports Medicine, LLLP

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.