Advanced Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC5020 Issued in TX

Legal business name

ADVANCED CHIROPRACTIC

Practice address

1602 E Starr Ave Ste 201
Nacogdoches, TX 75961-4312

Phone

(936) 560-5441

Fax

(936) 560-5428

NPI assigned

Aug 10, 2012

Last updated

Aug 10, 2012By 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

Ms. Debra L White, BSN, DC

Title

Owner

Phone

(936) 560-5441

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advanced Chiropractic2 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.

• Chirotx, PC

  • Chiropractor
  • Nacogdoches, TX
  • NPI 1568609675
  NPD tax ID

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1881941607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE STE 201",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-560-5441",
            "fax_number": "936-560-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE STE 201",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-560-5441",
            "fax_number": "936-560-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-5441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001454001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Onaiwy Abu, FNP-C
• Esteban Bryce Acosta
• Adam's Therapy Services PLLC
• Shekofeh Zamane Adell, FNP-C
• Jennifer Proctor Adkins, LPC
• Advanced Chiropractic Center LLC
• Advanced Surgical Associates of East Texas
• Patsy Nicole Agpalza, LCSW
• Isabella A Aguilar
• Ahm Action Home Health, LP (Enhabit Home Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.