Active NPI
Divine Injury Clinic & Rehab, P.C.
- Point of Service
- Mesquite, TX
National Provider Identifier
1710197785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 10276
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 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 DirectoryLocations
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.