Organization Active NPI

SSC Chiropractic, P.a.

  • Radiology Chiropractor
  • Irving, TX
National Provider Identifier
1932394574
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
9363 Issued in TX
Legal business name
SSC CHIROPRACTIC, P.A.
Practice address
3109 N Belt Line Rd
Suite 138
Irving, TX 75062-6867
Phone
(972) 252-5873
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Scott Tan Viet Lai, D.C.
Title
Chiropractor
Phone
(972) 416-5873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X 9363 TX Primary

Addresses

Primary practice location

3109 N Belt Line Rd
Suite 138
Irving, TX 75062-6867

Mailing address

PO Box 112624
Carrollton, TX 75011-2624

Other names 1

  • Spinal Specialist Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spinal Specialist Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3109 N Belt Line Rd
Ste 138
Irving, TX 75062
Phone (972) 252-5873

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1932394574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112624",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750112624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 N BELT LINE RD",
            "address_2": "SUITE 138",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626867",
            "telephone_number": "972-252-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "TAN VIET",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-416-5873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "9363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Specialist Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.