Elliott Spine & Sport, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELLIOTT SPINE & SPORT, PLLC

Practice address

2103 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5868

Phone

(469) 200-5574

NPI assigned

Oct 9, 2019

Last updated

Dec 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Byron Elliott, LAT, DCNPI 1447594601

Title

President

Phone

(713) 471-4412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Joshua Byron Elliott, LAT, DC

  • Chiropractor
  • Frisco, TX
  • NPI 1447594601
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1760024061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13812 CORTES DE PALLAS DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681065",
            "telephone_number": "713-471-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E ELDORADO PKWY STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685868",
            "telephone_number": "469-200-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT SPINE & SPORT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-471-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAT, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldorado Family Dentistry, PA
• Eldorado Pharmacy LLC (Eldorado Pharmacy)
• Eldorado West Senior Living
• Elements of Love Pediatrics Home Healthcare, LLC
• Elite Surgical Services
• Courtney Ellis
• Ellite Medical Services, Inc
• Mostafa Soliman Elsakka, M.D.
• Embracing Hands Service LLC
• Empowered Faith Boarding Homes

• Chiropractor in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.