Active NPI
Elite Healthcare of Mansfield
- Family Medicine Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ELITE HEALTHCARE OF MANSFIELD
- Practice address
- 1600 Highway 287 N
Suite 104
Mansfield, TX 76063-8853 - Phone
- (817) 453-5001
- NPI assigned
- Nov 13, 2006
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Jensen, D.C.
- Title
- President
- Phone
- (817) 453-5001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1600 Highway 287 N
Suite 104
Mansfield, TX 76063-8853
Mailing address
1600 Highway 287 N
Suite 104
Mansfield, TX 76063-8853
Phone (817) 453-5001
National Provider Directory
National Provider Directory- Tax ID family
- Elite Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Mansfield, TX
- NPI 1215194345
Locations
1600 Highway 287 N
Ste 104
Mansfield, TX 76063
Phone (817) 453-5001
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Mansfield, TX
- NPI 1841349958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1942371687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 287 N",
"address_2": "SUITE 104",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638853",
"telephone_number": "817-453-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 287 N",
"address_2": "SUITE 104",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638853",
"telephone_number": "817-453-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTHCARE OF MANSFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-453-5001",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.