NPIMap

Organization Active NPI

Lone Star Family Wellness

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1780025866
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12028 Issued in TX
Legal business name
LONE STAR FAMILY WELLNESS
Practice address
7633 Bellaire Dr S Ste 101
Fort Worth, TX 76132-4311
Phone
(817) 349-7541
Fax
(817) 349-7549
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Matthew Salim
Title
Owner/Provider
Phone
(817) 349-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12028 TX Primary

Addresses

Primary practice location

7633 Bellaire Dr S Ste 101
Fort Worth, TX 76132-4311

Mailing address

7633 Bellaire Dr S Ste 101
Fort Worth, TX 76132-4311
Phone (817) 349-7541

Other identifiers 1

IdentifierTypeStateIssuer
1902149735OtherTXNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1780025866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-349-7541",
            "fax_number": "817-349-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 BELLAIRE DR S STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324311",
            "telephone_number": "817-349-7541",
            "fax_number": "817-349-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-349-7541"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902149735",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.