Tree of Life Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9922 Issued in TX

Legal business name

TREE OF LIFE CHIROPRACTIC & WELLNESS

Practice address

309 S Jupiter Rd
Suite 100
Allen, TX 75002-3052

Phone

(214) 547-7234

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ken Wilson

Title

DC

Phone

(214) 547-7234

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1770795783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S JUPITER RD",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S JUPITER RD",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "214-547-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "214-547-7234",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "0020LT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GRP",
            "identifier": "1770795783",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8P1151",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902881865",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kirsten Annelle Trapp, DPT
• Tree of Life Spine
• Daniel Anthony Trevizo, DPT
• Max Trevizo, LMSW
• Triton Durable Medical Equipment, LLC
• Triton Medical, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.