Active NPI
Liberty Health
- Chiropractor
- Dallas, TX
National Provider Identifier
1710255674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11401
- Legal business name
- LIBERTY HEALTH
- Practice address
- 4373 S Hampton Rd
Dallas, TX 75232-1058 - Phone
- (214) 339-2460
- Fax
- (214) 339-2387
- NPI assigned
- Dec 7, 2011
- Organization subpart
- Yes
- Parent organization
- HEALTHCARE CHIROPRACTIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Lee Pennell, D.C.
- Title
- Doctor/Owner
- Phone
- (214) 339-2460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11401 | TX | Primary |
Addresses
Primary practice location
4373 S Hampton Rd
Dallas, TX 75232-1058
Mailing address
PO Box 1305
Coppell, TX 75019-1305
Phone (817) 907-1009
Other names 1
- Healthcare Chiropractic
National Provider Directory
National Provider Directory- Part of
- Liberty Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1710255674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1305",
"city": "COPPELL",
"state": "TX",
"postal_code": "750191305",
"telephone_number": "817-907-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4373 S HAMPTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752321058",
"telephone_number": "214-339-2460",
"fax_number": "214-339-2387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTHCARE CHIROPRACTIC",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "PENNELL",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "214-339-2460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "11401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthcare Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.