Organization Active NPI

Chiro Hub Inc

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1922466648
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10570 Issued in TX
Legal business name
CHIRO HUB INC
Practice address
326 S Edmonds LN
Suite 104
Lewisville, TX 75067-3580
Phone
(972) 436-2521
Fax
(972) 436-7246
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Dr. Kelly Andre Reed, DCNPI 1992821953
Title
Clinic Director
Phone
(972) 436-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10570 TX Primary

Addresses

Primary practice location

326 S Edmonds LN
Suite 104
Lewisville, TX 75067-3580

Mailing address

326 S Edmonds LN
Suite 104
Lewisville, TX 75067-3580
Phone (972) 436-2521

Other names 1

  • Lewisville Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180319000263 TX Part B Supplier - Clinic/Group Practice 4587936968 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Locations

326 S Edmonds Ln
Ste 104
Lewisville, TX 75067
Phone (972) 436-2521

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1922466648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN",
            "address_2": "SUITE 104",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673580",
            "telephone_number": "972-436-2521",
            "fax_number": "972-436-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN",
            "address_2": "SUITE 104",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673580",
            "telephone_number": "972-436-2521",
            "fax_number": "972-436-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO HUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "972-436-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisville Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.