NPIMap

Organization Active NPI

Erb Family Wellness Southlake LLC

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1942797766
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7321 Issued in TX
Legal business name
ERB FAMILY WELLNESS SOUTHLAKE LLC
Practice address
1845 E Southlake Blvd # 140
Southlake, TX 76092
Phone
(817) 895-0075
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Kimberly Marie Pinson-Erb, DCNPI 1760429849
Title
Authorized Official
Phone
(817) 895-0075

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7321 TX Primary

Addresses

Primary practice location

1845 E Southlake Blvd # 140
Southlake, TX 76092

Mailing address

255 S Denton Tap Rd Ste 200
Coppell, TX 75019-5050
Phone (972) 556-9595

Other identifiers 1

IdentifierTypeStateIssuer
658421OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180521001034 TX Part B Supplier - Clinic/Group Practice 4981969011 Receives reassigned benefits from 5 practitioners
Practice locations: Southlake, TX

National Provider Directory

National Provider Directory

Locations

255 S Denton Tap Rd
Ste 200
Coppell, TX 75019
Phone (972) 393-6262

1845 E Southlake Blvd
#140
Southlake, TX 76092
Phone (817) 895-0075

1845 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 895-0075

Practitioners & affiliated clinicians

Practitioners 9

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": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1942797766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195050",
            "telephone_number": "972-556-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E SOUTHLAKE BLVD # 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-895-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERB FAMILY WELLNESS SOUTHLAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "PINSON-ERB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-895-0075",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "658421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.