Organization Active NPI

Pine Woods Chiropractic PLLC

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1730369174
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PINE WOODS CHIROPRACTIC PLLC
Practice address
5180 Eldorado Pkwy Ste 202
McKinney, TX 75070-7214
Phone
(972) 540-7777
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Dr. Jason Ray Fowler, DCNPI 1831103514
Title
Owner
Phone
(972) 540-7777

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6289 TX
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5180 Eldorado Pkwy Ste 202
McKinney, TX 75070-7214

Mailing address

5180 Eldorado Pkwy Ste 202
McKinney, TX 75070-7214
Phone (972) 540-7777

Other identifiers 1

IdentifierTypeStateIssuer
00017303 02MedicaidTX

National Provider Directory

National Provider Directory

Locations

5180 Eldorado Pkwy
Ste 202
McKinney, TX 75070
Phone (972) 540-7777

6166 S State Highway 37
Mineola, TX 75773
Phone (903) 569-1911

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1730369174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 ELDORADO PKWY STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707214",
            "telephone_number": "972-540-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 ELDORADO PKWY STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707214",
            "telephone_number": "972-540-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE WOODS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-540-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6289",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017303 02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.