Flower Mound Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11984 Issued in TX

Legal business name

FLOWER MOUND CHIROPRACTIC PLLC

Practice address

3121 Cross Timbers Rd
Suite 100
Flower Mound, TX 75028-2714

Phone

(972) 539-2323

NPI assigned

Aug 6, 2013

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Ponomarenko, D.C.NPI 1649602285

Title

Owner/Chiropractor

Phone

(972) 539-2323

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Flower Mound Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Flower Mound Chiropractic PLLC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1548180003
  NPD tax ID

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.

• Nicholas Ponomarenko, D.C.

  • Chiropractor
  • Flower Mound, TX
  • NPI 1649602285
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1881026433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 CROSS TIMBERS RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CROSS TIMBERS RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282714",
            "telephone_number": "972-539-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER MOUND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "PONOMARENKO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-539-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11984",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "11984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Fletcher
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• Flower Mound Autumn Leaves, LP
• Flower Mound Chiropractic PLLC
• Flower Mound Counseling, PLLC
• Flower Mound Dental Smiles PLLC (Active Dental Flower Mound)
• Flower Mound Dentistry Divine
• Flower Mound Dermatology
• Flower Mound Emergency Care Center (First Choice Emergency Room)

• Chiropractor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.