Organization Active NPI

Mansfield Chiropractic Center LLC

  • Chiropractor
  • Mansfield, TX
National Provider Identifier
1841490786
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8793 Issued in TX
Legal business name
MANSFIELD CHIROPRACTIC CENTER LLC
Practice address
1071 Country Club Dr
#101
Mansfield, TX 76063-2663
Phone
(817) 453-3999
Fax
(817) 453-3970
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
George Bobbitt, D.C.NPI 1588702823
Title
Owner
Phone
(817) 453-3999

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 8793 TX Primary

Addresses

Primary practice location

1071 Country Club Dr
#101
Mansfield, TX 76063-2663

Mailing address

1071 Country Club Dr
#101
Mansfield, TX 76063-2663
Phone (817) 453-3999

Other names 1

  • Mansfield Chiropractic center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000607 TX Part B Supplier - Clinic/Group Practice 2466425988 Receives reassigned benefits from 1 practitioner
Practice locations: Kennedale, TX; Mansfield, TX

National Provider Directory

National Provider Directory

Locations

405 W Kennedale Pkwy
Kennedale, TX 76060
Phone (817) 330-3600

1071 Country Club Dr
Ste 101
Mansfield, TX 76063
Phone (817) 453-3999

Practitioners & affiliated clinicians

Practitioners 5

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1841490786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 COUNTRY CLUB DR",
            "address_2": "#101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632663",
            "telephone_number": "817-453-3999",
            "fax_number": "817-453-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 COUNTRY CLUB DR",
            "address_2": "#101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632663",
            "telephone_number": "817-453-3999",
            "fax_number": "817-453-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-453-3999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Chiropractic center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.