Dr. Penny R. Garrison, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10424 Issued in TX

Legal business name

DR. PENNY R. GARRISON, D.C., P.A.

Doing business as

ActivCare Chiropractic of Dallas

Practice address

6333 E Mockingbird LN
223
Dallas, TX 75214-2692

Phone

(214) 821-2525

Fax

(214) 821-2548

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Penny Renae Garrison, D.C.

Title

Owner

Phone

(214) 821-2525

Specialties & licenses 1

Addresses

Other names 1

• ActivCare Chiropractic of Dallas Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902028756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN",
            "address_2": "223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142692",
            "telephone_number": "214-821-2525",
            "fax_number": "214-821-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN",
            "address_2": "223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142692",
            "telephone_number": "214-821-2525",
            "fax_number": "214-821-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PENNY R. GARRISON, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-821-2525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActivCare Chiropractic of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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.