Organization Active NPI

Texas Gonstead Chiropractic, Inc

  • Chiropractor
  • Plano, TX
National Provider Identifier
1700289832
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11160 Issued in TX
Legal business name
TEXAS GONSTEAD CHIROPRACTIC, INC
Practice address
7130 Preston Rd
Ste 300
Plano, TX 75024-3265
Phone
(972) 208-8877
Fax
(972) 208-8866
NPI assigned
Oct 3, 2014
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Ho Chan Shin, DCNPI 1922203710
Title
Owner
Phone
(972) 208-8877

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
Chiropractor 111N00000X 11160 TX Primary

Addresses

Primary practice location

7130 Preston Rd
Ste 300
Plano, TX 75024-3265

Mailing address

7130 Preston Rd
Ste 300
Plano, TX 75024-3265
Phone (972) 208-8877

Other identifiers 1

IdentifierTypeStateIssuer
8CG259OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

7130 Preston Rd
Ste 300
Plano, TX 75024
Phone (972) 208-8877

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": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1700289832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 PRESTON RD",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243265",
            "telephone_number": "972-208-8877",
            "fax_number": "972-208-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 PRESTON RD",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243265",
            "telephone_number": "972-208-8877",
            "fax_number": "972-208-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GONSTEAD CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "HO CHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-208-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CG259",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.