NPIMap

Organization Active NPI

Ennis Healthcare Systems Inc

  • Chiropractor
  • Ennis, TX
National Provider Identifier
1881646941
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ENNIS HEALTHCARE SYSTEMS INC
Practice address
2200 Physicans Blvd Ste D
Ennis, TX 75119-6248
Phone
(972) 875-7488
Fax
(972) 875-7508
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Linda L Riley
Title
Administrator
Phone
(214) 943-9431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2200 Physicans Blvd Ste D
Ennis, TX 75119-6248

Mailing address

PO Box 3770
Dallas, TX 75208-1070
Phone (972) 875-7488

Other identifiers 1

IdentifierTypeStateIssuer
0065LTOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

507 S Clay St
Ennis, TX 75119
Phone (972) 875-7488

Practitioners & affiliated clinicians

Practitioners 10

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1881646941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081070",
            "telephone_number": "972-875-7488",
            "fax_number": "972-875-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICANS BLVD STE D",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196248",
            "telephone_number": "972-875-7488",
            "fax_number": "972-875-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-943-9431"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0065LT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.