Individual provider Active NPI

Michel F Longacre, DC

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1972538320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8967 Issued in TX
Practice address
1001 Cross Timbers Rd
Ste 2070
Flower Mound, TX 75028-1371
Phone
(469) 549-1810
Fax
(469) 549-1820
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8967 TX Primary

Addresses

Primary practice location

1001 Cross Timbers Rd
Ste 2070
Flower Mound, TX 75028-1371

Mailing address

9229 Lyndon B Johnson Fwy
Suite 250
Dallas, TX 75243-3405
Phone (972) 739-3097

Other identifiers 2

IdentifierTypeStateIssuer
166344501MedicaidTX
166344502MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001393 TX Practitioner - Chiropractic 1850362823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8967TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Chiropractic of Texas, LLC Chiropractor CurrentSince Sep 30, 2024 Accepting new patients
Physicians and Allied Health Professionals Group, PA Chiropractor Past Accepting new patients
Dr. Bruce E. Amason, PA Chiropractor PastSince Jan 1, 2018 Accepting new patients
Denton Chiropractic Center, Inc Chiropractor PastSince Oct 7, 2005 Accepting new patients

Locations

1221 Church St
Colleyville, TX 76034
Phone (817) 503-2224

10761 Founders Way
Fort Worth, TX 76177
Phone (469) 540-7158

1 City Club Dr
Houston, TX 77046
Phone (281) 916-7300

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972538320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433405",
            "telephone_number": "972-739-3097",
            "fax_number": "972-739-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD",
            "address_2": "STE 2070",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281371",
            "telephone_number": "469-549-1810",
            "fax_number": "469-549-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "MICHEL",
        "middle_name": "F",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166344501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166344502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.