NPIMap

Organization Active NPI

Excelsium LLC

Doing business as Thrive Chiropractic

  • Chiropractor
  • Keller, TX
National Provider Identifier
1821552506
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EXCELSIUM LLC
Doing business as
Thrive Chiropractic
Practice address
1141 Keller Pkwy Ste E
Keller, TX 76248-1628
Phone
(817) 562-8855
NPI assigned
Jan 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Johnny Tam Nguyen, DCNPI 1114766714
Title
Owner/Chiropractor
Phone
(817) 562-8855

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 Primary

Addresses

Primary practice location

1141 Keller Pkwy Ste E
Keller, TX 76248-1628

Mailing address

1141 Keller Pkwy Ste E
Keller, TX 76248-1628
Phone (817) 562-8855

Other names 1

  • Thrive Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjohnnytnguyen@thrivechirodfw.com Direct

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": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1821552506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 KELLER PKWY STE E",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481628",
            "telephone_number": "817-562-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 KELLER PKWY STE E",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481628",
            "telephone_number": "817-562-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "TAM",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "817-562-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjohnnytnguyen@thrivechirodfw.com",
            "affiliation": "N",
            "endpointDescription": "Business-Personal Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1141 Keller Pkwy Ste E",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762481628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.