NPIMap

Organization Active NPI

SE Health Services

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1790945012
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2503 Issued in TX
Legal business name
SE HEALTH SERVICES
Practice address
8225 Bruton Rd
Dallas, TX 75217-1903
Phone
(214) 388-3455
Fax
(214) 388-1112
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. James P. Syvrud, D.C.
Title
Owner
Phone
(214) 388-3455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2503 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 10858 TX

Addresses

Primary practice location

8225 Bruton Rd
Dallas, TX 75217-1903

Mailing address

8225 Bruton Rd
Dallas, TX 75217-1903
Phone (214) 388-3455

Other names 1

  • Liberty Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1790945012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171903",
            "telephone_number": "214-388-3455",
            "fax_number": "214-388-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171903",
            "telephone_number": "214-388-3455",
            "fax_number": "214-388-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SYVRUD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-388-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2503",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.