Organization Active NPI

Divine Injury Clinic & Rehab, P.C.

  • Point of Service
  • Mesquite, TX
National Provider Identifier
1710197785
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
10276 Issued in TX
Legal business name
DIVINE INJURY CLINIC & REHAB, P.C.
Practice address
3220 Gus Thomasson Rd
Suite 233
Mesquite, TX 75150-4057
Phone
(972) 279-0644
Fax
(972) 279-0655
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Ogechi Guinness-Ohazuruike, D.C.
Title
Doctor of Chiropractic
Phone
(972) 279-0644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 10276 TX
Point of Service 305S00000X 10276 TX Primary

Addresses

Primary practice location

3220 Gus Thomasson Rd
Suite 233
Mesquite, TX 75150-4057

Mailing address

3220 Gus Thomasson Rd
Suite 233
Mesquite, TX 75150-4057
Phone (972) 279-0644

National Provider Directory

National Provider Directory

Locations

3220 Gus Thomasson Rd
Ste 233
Mesquite, TX 75150
Phone (214) 802-2458

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1710197785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD",
            "address_2": "SUITE 233",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504057",
            "telephone_number": "972-279-0644",
            "fax_number": "972-279-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD",
            "address_2": "SUITE 233",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504057",
            "telephone_number": "972-279-0644",
            "fax_number": "972-279-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INJURY CLINIC & REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "GUINNESS-OHAZURUIKE",
        "authorized_official_first_name": "OGECHI",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "972-279-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10276",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "10276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.