Organization Active NPI

Crucible Chiropractic PLLC

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1891113718
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10562 Issued in TX
Legal business name
CRUCIBLE CHIROPRACTIC PLLC
Practice address
6988 Lebanon Rd
Suite 101
Frisco, TX 75034-6735
Phone
(214) 446-5300
NPI assigned
Mar 29, 2014
Last updated
Mar 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Dr. Matthew S Chalmers, DCNPI 1386864718
Title
Owner
Phone
(214) 446-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10562 TX Primary

Addresses

Primary practice location

6988 Lebanon Rd
Suite 101
Frisco, TX 75034-6735

Mailing address

3617 Shire Blvd
Suite 150
Richardson, TX 75082-2240
Phone (214) 446-5300

National Provider Directory

National Provider Directory

Locations

3617 Shire Blvd
Ste 150
Richardson, TX 75082

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1891113718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 SHIRE BLVD",
            "address_2": "SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822240",
            "telephone_number": "214-446-5300",
            "fax_number": "214-446-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6988 LEBANON RD",
            "address_2": "SUITE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346735",
            "telephone_number": "214-446-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUCIBLE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-446-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.