Organization Active NPI

Palmercare Chiropractic Las Colinas LLC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1942875638
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMERCARE CHIROPRACTIC LAS COLINAS LLC
Practice address
4000 N Macarthur Blvd Ste A111
Irving, TX 75038-6418
Phone
(703) 421-2990
Fax
(703) 421-2822
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Casey Holm
Title
Cfo
Phone
(703) 421-2990

Specialties & licenses 1

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

Addresses

Primary practice location

4000 N Macarthur Blvd Ste A111
Irving, TX 75038-6418

Mailing address

46169 Westlake Dr Ste 300
Sterling, VA 20165-5875
Phone (703) 421-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230221003410 TX Part B Supplier - Clinic/Group Practice 2062885056 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

4000 N MacArthur Blvd
Ste 111
Irving, TX 75038
Phone (469) 565-2354

4000 N MacArthur Blvd
Ste A111
Irving, TX 75038
Phone (469) 565-2354

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1942875638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "703-421-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N MACARTHUR BLVD STE A111",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386418",
            "telephone_number": "703-421-2990",
            "fax_number": "703-421-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC LAS COLINAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "703-421-2990"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2021; 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.