Organization Active NPI

100 Chiro Prince PLLC

Doing business as 100 Percent Chiropractic Southlake

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1922735141
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO PRINCE PLLC
Doing business as
100 Percent Chiropractic Southlake
Practice address
2757 E Southlake Blvd Ste A110
Southlake, TX 76092-8014
Phone
(214) 498-6263
NPI assigned
Aug 7, 2022
Last updated
Aug 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Authorized official

Name
Courtney Diane Prince, DCNPI 1093347452
Title
Owner/Chiropractor
Phone
(214) 498-6263

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 Primary

Addresses

Primary practice location

2757 E Southlake Blvd Ste A110
Southlake, TX 76092-8014

Mailing address

8809 Copper River Dr
Fort Worth, TX 76131-2565
Phone (214) 498-6263

Other names 1

  • 100 Percent Chiropractic Southlake Doing business as

National Provider Directory

National Provider Directory

Locations

2757 E Southlake Blvd
Ste A110
Southlake, TX 76092
Phone (214) 498-6263

Practitioners & affiliated clinicians

Practitioners 2

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": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1922735141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 COPPER RIVER DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761312565",
            "telephone_number": "214-498-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 E SOUTHLAKE BLVD STE A110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928014",
            "telephone_number": "214-498-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO PRINCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "214-498-6263",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.