Organization Active NPI

Healthsource of Flower Mound LLC

  • Chiropractor
  • Highland Village, TX
National Provider Identifier
1831466044
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHSOURCE OF FLOWER MOUND LLC
Practice address
200 Market Place LN
Suite 200
Highland Village, TX 75077
Phone
(972) 376-4150
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. John Davis, DC
Title
Manager
Phone
(318) 614-2963

Specialties & licenses 1

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

Addresses

Primary practice location

200 Market Place LN
Suite 200
Highland Village, TX 75077

Mailing address

200 Market Place LN
Suite 200
Highland Village, TX 75077
Phone (972) 376-4150

National Provider Directory

National Provider Directory

Locations

200 Market Pl
Ste 200
Highland Village, TX 75077
Phone (972) 376-4150

200 Market Pl
Ste 225
Lewisville, TX 75077
Phone (972) 966-3333

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1831466044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARKET PLACE LN",
            "address_2": "SUITE 200",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-376-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARKET PLACE LN",
            "address_2": "SUITE 200",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-376-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF FLOWER MOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-614-2963",
        "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": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.