Lake Texoma Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009315 Issued in PA

Legal business name

LAKE TEXOMA CHIROPRACTIC

Practice address

81750 N State Hwy 289 Ste 102
Pottsboro, TX 75076

Phone

(903) 327-9166

Fax

(888) 886-8139

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Ann Beight, DC

Title

Owner

Phone

(903) 327-9166

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1700293453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81750 N STATE HWY 289 STE 102",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750764966",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81750 N STATE HWY 289 STE 102",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "75076",
            "telephone_number": "903-327-9166",
            "fax_number": "888-886-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TEXOMA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "BEIGHT",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-327-9166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001676219",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3413536-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE8220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L. Hawkins, D.D.S.
• Donna Lynn Higginbotham-Buttrill
• J & T Park Enterprises, LTD.
• Michael Arthur Kennedy, PA-C
• Julie Kincaid, FNP-C
• Lake Texoma Health Clinic, PLLC
• James Boothby Leblanc, M.ED., LPC
• April Littlefield
• Suzanne Eileen Lohman, MSW
• Amanda Rian McDaniels

• Chiropractor in Pottsboro, TX
• Providers in Pottsboro, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.