Organization Active NPI

Spinal Evolution Chiropractic

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1710258900
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11911 Issued in TX
Legal business name
SPINAL EVOLUTION CHIROPRACTIC
Practice address
6711 W Northwest Hwy
Dallas, TX 75225-4201
Phone
(214) 868-5544
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Lawrence Donald Brookman III, D.C.
Title
Chiropractor
Phone
(214) 868-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11911 TX Primary

Addresses

Primary practice location

6711 W Northwest Hwy
Dallas, TX 75225-4201

Mailing address

5522 Walnut Hill LN
Dallas, TX 75229-6623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1710258900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254201",
            "telephone_number": "214-868-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL EVOLUTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "BROOKMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "214-868-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 19, 2012; 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.