NPIMap

Organization Active NPI

St Onge Chiropractic & Sports Therapy

  • Chiropractor
  • Irving, TX
National Provider Identifier
1790944809
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10070 Issued in TX
Legal business name
ST ONGE CHIROPRACTIC & SPORTS THERAPY
Practice address
1121 Kinwest Pkwy
100
Irving, TX 75063-3135
Phone
(972) 444-8585
Fax
(888) 463-8877
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Timothy St OngeNPI 1326077553
Title
Owner
Phone
(972) 444-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10070 TX Primary

Addresses

Primary practice location

1121 Kinwest Pkwy
100
Irving, TX 75063-3135

Mailing address

1121 Kinwest Pkwy
100
Irving, TX 75063-3135
Phone (972) 444-8585

Other identifiers 1

IdentifierTypeStateIssuer
TXB164587OtherTXMEDICARE PTAN

Other names 1

  • St Onge Chiropractic & Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1790944809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-444-8585",
            "fax_number": "888-463-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "address_2": "100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-444-8585",
            "fax_number": "888-463-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ONGE CHIROPRACTIC & SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ST ONGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-444-8585",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB164587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Onge Chiropractic & Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.