Organization Active NPI

Innovative Healing Center LLC

  • Acupuncturist
  • Plano, TX
National Provider Identifier
1841525680
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00754 Issued in TX
Legal business name
INNOVATIVE HEALING CENTER LLC
Practice address
4100 W 15TH St
220
Plano, TX 75093-5803
Phone
(972) 742-1152
Fax
(972) 867-6376
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Tena Carroll Scarber, L. AC.NPI 1851514665
Title
Owner/L. Ac.
Phone
(972) 742-1152

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06690 TX
Acupuncturist 171100000X 00754 TX Primary

Addresses

Primary practice location

4100 W 15TH St
220
Plano, TX 75093-5803

Mailing address

5608 Southern Hills Dr
Frisco, TX 75034-6863
Phone (972) 742-1152

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1841525680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SOUTHERN HILLS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346863",
            "telephone_number": "972-742-1152",
            "fax_number": "972-867-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-742-1152",
            "fax_number": "972-867-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "SCARBER",
        "authorized_official_first_name": "TENA",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER/L. AC.",
        "authorized_official_telephone_number": "972-742-1152",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "06690",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "00754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.