Innergy Fitness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12490 Issued in TX

Legal business name

INNERGY FITNESS

Practice address

200 Crescent CT Ste 95
Dallas, TX 75201-7864

Phone

(918) 408-4521

NPI assigned

Mar 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Hanson

Title

Owner

Phone

(214) 801-5104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1700201647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CRESCENT CT STE 95",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CRESCENT CT STE 95",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017864",
            "telephone_number": "918-408-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERGY FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-801-5104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dallas, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.