Otteman Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OTTEMAN CHIROPRACTIC, PLLC

Practice address

1205 S White Chapel Blvd Ste 230
Southlake, TX 76092-9341

Phone

(817) 224-2202

NPI assigned

Nov 21, 2021

Last updated

Nov 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew John Otteman, DC

Title

President

Phone

(815) 603-0325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1962169268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S WHITE CHAPEL BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S WHITE CHAPEL BLVD STE 230",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929341",
            "telephone_number": "817-224-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTEMAN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "OTTEMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-603-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Oriani, FNP
• Emily Victoria Ortiz, MS
• Megan Nicole Ortiz, RBT
• Alicja Naomi Oshiokpekhai
• Mahta Ostadian, M.D.
• Matthew Otteman, DC
• Katharine Ottone, PHD, LPC
• Ouch (Orthopedic Urgent Care Home, PLLC) (Ouch)
• Brittany Padgett
• Jennifer Nan Wilson Page, RPH

• Chiropractor in Southlake, TX
• Providers in Southlake, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.