Organization Active NPI

Matrix Chiropractic

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1881626109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10188 Issued in TX
Legal business name
MATRIX CHIROPRACTIC
Practice address
4848 Lemmon Ave
Suite 104
Dallas, TX 75219-1400
Phone
(214) 432-3080
Fax
(214) 347-9571
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Thutuyen T. Phamle
Title
Managing Employee
Phone
(214) 432-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10188 TX Primary

Addresses

Primary practice location

4848 Lemmon Ave
Suite 104
Dallas, TX 75219-1400

Mailing address

4848 Lemmon Ave
Suite 104
Dallas, TX 75219-1400
Phone (214) 432-3080

National Provider Directory

National Provider Directory

Locations

4848 Lemmon Ave
Ste 104
Dallas, TX 75219
Phone (214) 432-3080

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881626109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 LEMMON AVE",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191400",
            "telephone_number": "214-432-3080",
            "fax_number": "214-347-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 LEMMON AVE",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191400",
            "telephone_number": "214-432-3080",
            "fax_number": "214-347-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAMLE",
        "authorized_official_first_name": "THUTUYEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "214-432-3080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • 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.