Organization Active NPI

Trinity Integrated Healthcare, PLLC

  • Rehabilitation Chiropractor
  • Aubrey, TX
National Provider Identifier
1932717345
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
TRINITY INTEGRATED HEALTHCARE, PLLC
Practice address
26743 US Highway 380 E Ste 100
Aubrey, TX 76227-8309
Phone
(972) 347-3400
Fax
(972) 675-7742
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
William E Goolsby, DCNPI 1285711804
Title
Owner
Phone
(214) 460-9615

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

26743 US Highway 380 E Ste 100
Aubrey, TX 76227-8309

Mailing address

14005 Notting Hill Dr
Little Elm, TX 75068-4937
Phone (214) 460-9615

Other names 1

  • Peak Performance Chiropractic, Decompression & Acupuncture Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209001144 TX Part B Supplier - Clinic/Group Practice 1850781691 Receives reassigned benefits from 1 practitioner
Practice locations: Aubrey, TX

National Provider Directory

National Provider Directory

Locations

26743 US Highway 380 E
Ste 100
Aubrey, TX 76227
Phone (972) 347-3400

Practitioners & affiliated clinicians

Practitioners 2

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1932717345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 NOTTING HILL DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684937",
            "telephone_number": "214-460-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26743 US HIGHWAY 380 E STE 100",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278309",
            "telephone_number": "972-347-3400",
            "fax_number": "972-675-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTEGRATED HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-460-9615",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance Chiropractic, Decompression & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.