Organization Active NPI

The Vine Family Chiropractic

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1720417157
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12465 Issued in TX
Legal business name
THE VINE FAMILY CHIROPRACTIC
Practice address
220 N Park Blvd
Ste 115
Grapevine, TX 76051-6987
Phone
(405) 514-2315
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Kelsey A Wint Brown, DC
Title
Owner
Phone
(405) 514-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12465 TX Primary

Addresses

Primary practice location

220 N Park Blvd
Ste 115
Grapevine, TX 76051-6987

Mailing address

220 N Park Blvd
Ste 115
Grapevine, TX 76051-6987
Phone (405) 514-2315

National Provider Directory

National Provider Directory

Locations

220 N Park Blvd
Ste 115
Grapevine, TX 76051
Phone (405) 514-2315

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1720417157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "address_2": "STE 115",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "405-514-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "address_2": "STE 115",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "405-514-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VINE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "WINT BROWN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-514-2315",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.