NPIMap

Organization Active NPI

Accident & Back Pain Center

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1740360932
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACCIDENT & BACK PAIN CENTER
Practice address
3304 SE Loop 820
Fort Worth, TX 76140-1108
Phone
(817) 568-9200
Fax
(817) 568-8792
NPI assigned
Oct 16, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Cindy Hammett
Title
Representative
Phone
(979) 776-7300

Specialties & licenses 1

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

Addresses

Primary practice location

3304 SE Loop 820
Fort Worth, TX 76140-1108

Mailing address

3304 SE Loop 820
Fort Worth, TX 76140-1108
Phone (817) 568-9200

Other identifiers 2

IdentifierTypeStateIssuer
603589OtherBLUE CROSS
179719500OtherUS DEPT. OF LABOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740360932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401108",
            "telephone_number": "817-568-9200",
            "fax_number": "817-568-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401108",
            "telephone_number": "817-568-9200",
            "fax_number": "817-568-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT & BACK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HAMMETT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "979-776-7300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "603589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "179719500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.