Organization Active NPI

Sachse Chiropractic Center, Inc.

  • Chiropractor
  • Sachse, TX
National Provider Identifier
1750576153
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8576 Issued in TX
Legal business name
SACHSE CHIROPRACTIC CENTER, INC.
Practice address
5634 Highway 78
Ste. 120
Sachse, TX 75048-3773
Phone
(972) 496-4200
Fax
(972) 496-4400
NPI assigned
Sep 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
James Robert Kieser II, D.C.NPI 1366488819
Title
Chiropractor/Proprietor
Phone
(972) 469-4200

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8576 TX Primary

Addresses

Primary practice location

5634 Highway 78
Ste. 120
Sachse, TX 75048-3773

Mailing address

5634 Highway 78
Ste. 120
Sachse, TX 75048-3773
Phone (972) 496-4200

Other identifiers 1

IdentifierTypeStateIssuer
0011GHOtherTXBCBS GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000992 TX Part B Supplier - Clinic/Group Practice 9032158530 Receives reassigned benefits from 1 practitioner
Practice locations: Sachse, TX

National Provider Directory

National Provider Directory

Locations

10611 Garland Rd
Ste 115
Dallas, TX 75218
Phone (214) 321-6229

5634 Highway 78
Ste 120
Sachse, TX 75048
Phone (972) 496-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1750576153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 HIGHWAY 78",
            "address_2": "STE. 120",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483773",
            "telephone_number": "972-496-4200",
            "fax_number": "972-496-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5634 HIGHWAY 78",
            "address_2": "STE. 120",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483773",
            "telephone_number": "972-496-4200",
            "fax_number": "972-496-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHSE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "KIESER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/PROPRIETOR",
        "authorized_official_telephone_number": "972-469-4200",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0011GH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.