NPIMap

Organization Active NPI

Pro Health Chiropractic

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1932361755
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9796 Issued in TX
Legal business name
PRO HEALTH CHIROPRACTIC
Practice address
4505 Troup Hwy
Tyler, TX 75703-2350
Phone
(903) 509-9990
Fax
(903) 509-3390
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Stacy A Godsey, D.C.
Title
Owner
Phone
(903) 509-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9796 TX Primary

Addresses

Primary practice location

4505 Troup Hwy
Tyler, TX 75703-2350

Mailing address

4505 Troup Hwy
Tyler, TX 75703-2350
Phone (903) 509-9990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1932361755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032350",
            "telephone_number": "903-509-9990",
            "fax_number": "903-509-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032350",
            "telephone_number": "903-509-9990",
            "fax_number": "903-509-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GODSEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-509-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.