NPIMap

Organization Active NPI

CTC-Trinity Grove

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1699411132
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CTC-TRINITY GROVE
Practice address
320 Singleton Blvd Apt 150
Dallas, TX 75212-4117
Phone
(469) 317-7860
Fax
(469) 317-7860
NPI assigned
May 9, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CTC CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Dr. Cornell Cornish, DCNPI 1275823072
Title
Owner
Phone
(972) 807-2310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

320 Singleton Blvd Apt 150
Dallas, TX 75212-4117

Mailing address

320 Singleton Blvd Apt 150
Dallas, TX 75212-4117
Phone (469) 317-7860

National Provider Directory

National Provider Directory
Part of
CTC Chiropractic LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1699411132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SINGLETON BLVD APT 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124117",
            "telephone_number": "469-317-7860",
            "fax_number": "469-317-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SINGLETON BLVD APT 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124117",
            "telephone_number": "469-317-7860",
            "fax_number": "469-317-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTC-TRINITY GROVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CTC CHIROPRACTIC LLC",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-807-2310",
        "authorized_official_name_prefix": "Dr.",
        "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 Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.