Active NPI
Joshua Cade Edwards, D.C.
- Chiropractor
- Allen, TX
National Provider Identifier
1962542084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10069
- Practice address
- 1546 Stacy Rd Ste 170
Allen, TX 75002-8728 - Phone
- (972) 430-3040
- Fax
- (972) 430-3044
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10069 | TX | Primary |
Addresses
Primary practice location
1546 Stacy Rd Ste 170
Allen, TX 75002-8728
Mailing address
1546 Stacy Rd Ste 170
Allen, TX 75002-8728
Phone (214) 284-9360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@impactchirosport.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10069 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirosport Health, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1546 Stacy Rd
Ste 170
Allen, TX 75002
Phone (972) 359-1362
4801 Spring Valley Rd
Ste 40
Farmers Branch, TX 75244
Phone (972) 488-9686
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1962542084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 STACY RD STE 170",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028728",
"telephone_number": "214-284-9360",
"fax_number": "972-430-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 STACY RD STE 170",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028728",
"telephone_number": "972-430-3040",
"fax_number": "972-430-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JOSHUA",
"middle_name": "CADE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@impactchirosport.com",
"affiliation": "N",
"endpointDescription": "company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1546 Stacy Rd Ste 170",
"city": "Allen",
"state": "TX",
"country_code": "US",
"postal_code": "750028728",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.