Elizabeth Black, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15899 Issued in TX

Practice address

4709 State Highway 121 Ste 124
The Colony, TX 75056-2903

Phone

(972) 625-4800

Fax

(972) 625-5028

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colony Family Chiropractic PLLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colony Family Chiropractic PLLC

  • Chiropractor
  • The Colony, TX
  • NPI 1932913688
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1699533372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 STATE HIGHWAY 121 STE 124",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562903",
            "telephone_number": "972-625-4800",
            "fax_number": "972-625-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 STATE HIGHWAY 121 STE 124",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562903",
            "telephone_number": "972-625-4800",
            "fax_number": "972-625-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bel-Air Family Healthcare Clinic
• Beneesse, Inc.
• Katherine Lanier Besly, MS, LPC
• Marvin K Bett
• Asad Bhojani
• William Howard Black, M.D.
• Jordi Bostock
• Kimberly Brackett, PHARMD
• Bradley Therapy, LLC
• William Andrew Brennes, DC

• All providers in The Colony, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.