Organization Active NPI

Westside Spine and Rehab

  • Chiropractor
  • Ft Worth, TX
National Provider Identifier
1942446547
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8520 Issued in TX
Legal business name
WESTSIDE SPINE AND REHAB
Practice address
1300 W Rosedale St Ste C
Ft Worth, TX 76104-2824
Phone
(817) 738-6668
Fax
(817) 737-2541
NPI assigned
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Jon A McCreery, D.C.
Title
Owner / Chiropractor
Phone
(817) 738-6668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8520 TX Primary

Addresses

Primary practice location

1300 W Rosedale St Ste C
Ft Worth, TX 76104-2824

Mailing address

1300 W Rosedale St
Ste. C
Ft Worth, TX 76104-2826
Phone (817) 738-6668

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": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1942446547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W ROSEDALE ST",
            "address_2": "STE. C",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042826",
            "telephone_number": "817-738-6668",
            "fax_number": "817-737-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ROSEDALE ST STE C",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042824",
            "telephone_number": "817-738-6668",
            "fax_number": "817-737-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SPINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "MCCREERY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "817-738-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.