Organization Active NPI

Deserve Victory LLC

Doing business as Dallas Sports and Anti-Aging Academy

  • Chiropractor
  • Rockwall, TX
National Provider Identifier
1740751437
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DESERVE VICTORY LLC
Doing business as
Dallas Sports and Anti-Aging Academy
Practice address
6118 Lincolnshire CT
Rockwall, TX 75087-4508
Phone
(301) 254-5571
Fax
(972) 692-0426
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Steven Horwitz, DCNPI 1437211679
Title
Owner
Phone
(214) 531-7939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6118 Lincolnshire CT
Rockwall, TX 75087-4508

Mailing address

6118 Lincolnshire CT
Rockwall, TX 75087-4508
Phone (301) 254-5571

Other names 1

  • Dallas Sports and Anti-Aging Academy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903003911 TX Part B Supplier - Clinic/Group Practice 0941702625 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Saline, TX

National Provider Directory

National Provider Directory

Locations

204 N Main St
Grand Saline, TX 75140
Phone (214) 531-7939

Practitioners & affiliated clinicians

Practitioners 1

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": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1740751437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 LINCOLNSHIRE CT",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874508",
            "telephone_number": "301-254-5571",
            "fax_number": "972-692-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 LINCOLNSHIRE CT",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874508",
            "telephone_number": "301-254-5571",
            "fax_number": "972-692-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERVE VICTORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "HORWITZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-531-7939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Sports and Anti-Aging Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.