Organization Active NPI

Performance Chiropractic & Sports Medicine

  • Orthopedic Chiropractor
  • Plano, TX
National Provider Identifier
1790165215
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
F0010135 Issued in TX
Legal business name
PERFORMANCE CHIROPRACTIC & SPORTS MEDICINE
Practice address
6001 Windhaven Pkwy
Suite 210
Plano, TX 75093-8017
Phone
(972) 473-8980
Fax
(972) 212-6851
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Mr. Courtney Teal Darden
Title
Office Manager
Phone
(972) 473-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X F0010135 TX Primary

Addresses

Primary practice location

6001 Windhaven Pkwy
Suite 210
Plano, TX 75093-8017

Mailing address

6001 Windhaven Pkwy
Suite 210
Plano, TX 75093-8017
Phone (972) 473-8980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1790165215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WINDHAVEN PKWY",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938017",
            "telephone_number": "972-473-8980",
            "fax_number": "972-212-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WINDHAVEN PKWY",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938017",
            "telephone_number": "972-473-8980",
            "fax_number": "972-212-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "TEAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-473-8980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "F0010135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.