Active NPI
Carrollton Enterprises Co.
- Chiropractor
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7878
- Legal business name
- CARROLLTON ENTERPRISES CO.
- Practice address
- 1005 S Josey LN
Suite 203
Carrollton, TX 75006-7663 - Phone
- (972) 417-0651
- Fax
- (972) 294-3789
- NPI assigned
- Apr 4, 2007
- Last updated
- Mar 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom Van Pham, D.C.
- Title
- Owner
- Phone
- (972) 417-0651
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7878 | TX | Primary |
Addresses
Primary practice location
1005 S Josey LN
Suite 203
Carrollton, TX 75006-7663
Mailing address
4287 Belt Line Rd
303
Addison, TX 75001-4510
Phone (972) 417-0651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092KB | Other | TX | BCBS GROUP NUMBER |
| 8J3410 | Other | TX | BCBS INDIVIDUAL PROVIDER |
National Provider Directory
National Provider DirectoryLocations
4287 Belt Line Rd
#303
Addison, TX 75001
1005 S Josey Ln
Ste 203
Carrollton, TX 75006
Phone (972) 417-0651
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Carrollton, TX
- NPI 1952311912
-
- Chiropractor
- Carrollton, TX
- NPI 1376894592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1972625556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4287 BELT LINE RD",
"address_2": "303",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014510",
"telephone_number": "972-417-0651",
"fax_number": "972-417-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 S JOSEY LN",
"address_2": "SUITE 203",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750067663",
"telephone_number": "972-417-0651",
"fax_number": "972-294-3789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLLTON ENTERPRISES CO.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-417-0651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0092KB",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PROVIDER",
"identifier": "8J3410",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- Leslie Ann Carroll, D.M.D.
- Carrollton Anesthesia Consultants
- Carrollton Autumn Leaves, LP
- Carrollton Chiropractic and Massage PLLC
- Carrollton Counseling and Wellness, PLLC
- Carrollton First Care Medical Center PLLC
- Carrollton Foot Center, PLLC
- Carrollton Health Care Center LTD Co (The Madison on Marsh)
- Carrollton Injury Rehab
- Carrollton Kinesiology & Chiropractic Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.