Mag Mag 99, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAG MAG 99, PC

Practice address

105 W. 7TH Ave.
Suite 100
Corsicana, TX 75110-6428

Phone

(903) 872-9122

Fax

(903) 872-9071

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Locke Zayne, DCNPI 1558476242

Title

Owner/President

Phone

(903) 872-9122

Specialties & licenses 1

Addresses

Other names 1

• Vernon M Bryder, DC PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Locke Maguire Zayne

  • Chiropractor
  • Corsicana, TX
  • NPI 1558476242
  Medicare reassignment NPD Authorized official
• Vernon Miles Bryder, DC

  • Chiropractor
  • Corsicana, TX
  • NPI 1255357141
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1710003637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 7TH AVE",
            "address_2": "SUITE 100",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-872-9122",
            "fax_number": "903-872-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W. 7TH AVE.",
            "address_2": "SUITE 100",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751106428",
            "telephone_number": "903-872-9122",
            "fax_number": "903-872-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG MAG 99, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-02-08",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ZAYNE",
        "authorized_official_first_name": "LOCKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "903-872-9122",
        "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": [
        {
            "organization_name": "Vernon M Bryder, DC PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madeline Lopez
• Natalie N Lucas, DNP, FNP-BC
• Michael Wayne Luce, CRNA
• Christopher Plumos Macasio
• Josefino M Mactal, PT
• Richard Brent Magness, D.D.S.
• Michael Robert Malone, DO
• Daniel P Maloney, MD
• Mann MD PLLC
• Amit Mann, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.