Prime Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F006625 Issued in TX

Legal business name

PRIME LIFE CHIROPRACTIC

Practice address

2504 K Ave
Suite 500
Plano, TX 75074-5340

Phone

(972) 424-2225

Fax

(972) 424-7709

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shae Anderson, OFFICE MANAGER

Title

Officer

Phone

(972) 424-2225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861504383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 K AVE",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745340",
            "telephone_number": "972-424-2225",
            "fax_number": "972-424-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 K AVE",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745340",
            "telephone_number": "972-424-2225",
            "fax_number": "972-424-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHAE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-424-2225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F006625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J10A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary MD PLLC
• Prime Diagnostic Imaging of Plano LLC
• Prime Foot & Ankle Care, PLLC
• Prime Heart and Vascular, PLLC
• Prime Heart and Vascular, PLLC
• Prime Neurocare
• Primrose Staffing Solutions LLC
• Natasha Primus-Smith
• Janel Larie Primus, PA-C
• Jada Jabria Prince

• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.