Kubosumi Chiropractic & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12777 Issued in TX

Legal business name

KUBOSUMI CHIROPRACTIC & WELLNESS, LLC

Practice address

945 S Bryan Belt Line Rd Ste 200
Mesquite, TX 75149-5080

Phone

(469) 744-5108

NPI assigned

Apr 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Kubosumi, DC

Title

Owner

Phone

(972) 972-4353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1770017808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S BRYAN BELT LINE RD STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495080",
            "telephone_number": "972-972-4353",
            "fax_number": "972-972-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S BRYAN BELT LINE RD STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495080",
            "telephone_number": "469-744-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBOSUMI CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "KUBOSUMI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-972-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.