Dimensional Wellness and Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10584 Issued in TX

Legal business name

DIMENSIONAL WELLNESS AND CHIROPRACTIC

Practice address

1110 West Shore Dr
Suite 150
Richardson, TX 75080-4054

Phone

(214) 575-8811

Fax

(214) 575-8855

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimmie Nathan Wooten IV, DC

Title

Owner

Phone

(214) 575-8811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1740480730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SHORE DR",
            "address_2": "SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "214-575-8811",
            "fax_number": "214-575-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WEST SHORE DR",
            "address_2": "SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804054",
            "telephone_number": "214-575-8811",
            "fax_number": "214-575-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONAL WELLNESS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-575-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Richardson, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.