Organization Active NPI

The Blueprint: a Body Lab LLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1972193654
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE BLUEPRINT: A BODY LAB LLC
Practice address
222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512
Phone
(972) 768-4097
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Dr. Latoya Harris, D.C.NPI 1730778366
Title
Owner/Chiropractor
Phone
(972) 768-4097

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 SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

222 W Jefferson Blvd Ste C
Dallas, TX 75208-4512

Mailing address

3212 Discovery Dr
Oak Point, TX 75068-0709
Phone (972) 768-4097

Other names 1

  • The BluePrint Doing business as

National Provider Directory

National Provider Directory

Locations

222 W Jefferson Blvd
Ste C
Dallas, TX 75208
Phone (972) 768-4097

Practitioners & affiliated clinicians

Practitioners 2

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1972193654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 DISCOVERY DR",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750680709",
            "telephone_number": "972-768-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W JEFFERSON BLVD STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084512",
            "telephone_number": "972-768-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUEPRINT: A BODY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-768-4097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The BluePrint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.