Active NPI
Revive Injury and Rehab
- Chiropractor
- Pantego, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- REVIVE INJURY AND REHAB
- Practice address
- 2313 W Arkansas LN Ste 102
Pantego, TX 76013-6034 - Phone
- (817) 642-5032
- NPI assigned
- Mar 31, 2023
- Last updated
- Mar 31, 2023
- 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
- Djorn Bain, DC
- Title
- Doctor of Chiropractic
- Phone
- (817) 642-5032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
2313 W Arkansas LN Ste 102
Pantego, TX 76013-6034
Mailing address
2313 W Arkansas LN Ste 102
Pantego, TX 76013-6034
Phone (817) 642-5032
Other practice location 1
8585 N Stemmons Fwy Ste 440S
Dallas, TX 75247-3836
Phone (817) 642-5032
National Provider Directory
National Provider DirectoryLocations
8585 N Stemmons Fwy
Ste 440S
Dallas, TX 75247
Phone (817) 642-5032
2313 W Arkansas Ln
Ste 102
Pantego, TX 76013
Phone (817) 642-5032
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Pantego, TX
- NPI 1740770353
-
- Chiropractor
- Pantego, TX
- NPI 1750186177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1710682729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 W ARKANSAS LN STE 102",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760136034",
"telephone_number": "817-642-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 W ARKANSAS LN STE 102",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760136034",
"telephone_number": "817-642-5032"
}
],
"practiceLocations": [
{
"address_1": "8585 N Stemmons Fwy Ste 440S",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752473836",
"country_code": "US",
"telephone_number": "817-642-5032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REVIVE INJURY AND REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "BAIN",
"authorized_official_first_name": "DJORN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "817-642-5032",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.