Organization Active NPI

Las Colinas Chiropractic PC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1962641555
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5243 Issued in TX
Legal business name
LAS COLINAS CHIROPRACTIC PC
Practice address
6565 N Macarthur Blvd Ste 225
Irving, TX 75039-2482
Phone
(972) 401-9100
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Authorized official

Name
Diana June Geisel
Title
Insurance Manager
Phone
(352) 626-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5243 TX Primary

Addresses

Primary practice location

6565 N Macarthur Blvd Ste 225
Irving, TX 75039-2482

Mailing address

6565 N Macarthur Blvd Ste 225
Irving, TX 75039-2482
Phone (972) 401-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000212 TX Part B Supplier - Clinic/Group Practice 0749337707 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

7423 Las Colinas Blvd
Ste 100
Irving, TX 75063
Phone (469) 864-1000

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": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705708800000",
    "number": "1962641555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392482",
            "telephone_number": "972-401-9100",
            "fax_number": "972-401-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392482",
            "telephone_number": "972-401-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS COLINAS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "GEISEL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "352-626-1126"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5243",
            "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 Jan 20, 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.