Serendipity Health & Wellness, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11054 Issued in TX

Legal business name

SERENDIPITY HEALTH & WELLNESS, PC

Practice address

4011 W Plano Pkwy Ste 100
Plano, TX 75093-5620

Phone

(214) 801-0741

Fax

(888) 972-1621

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amy Graddy St. John, DC, LMT

Title

President

Phone

(214) 801-0741

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1861713661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935620",
            "telephone_number": "214-801-0741",
            "fax_number": "888-972-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935620",
            "telephone_number": "214-801-0741",
            "fax_number": "888-972-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY HEALTH & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "ST. JOHN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GRADDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-801-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11054",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT028852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 20, 2018; 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.