Organization Active NPI

Carrollton Enterprises Co.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1972625556
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7878 Issued in TX
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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.NPI 1952311912
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0092KBOtherTXBCBS GROUP NUMBER
8J3410OtherTXBCBS INDIVIDUAL PROVIDER

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.