Progressive Pace Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROGRESSIVE PACE CHIROPRACTIC PLLC

Practice address

800 Water St
Waxahachie, TX 75165-3260

Phone

(972) 923-2616

Fax

(972) 937-0605

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Krystle Moreland, DCNPI 1396234233

Title

Chiropractor/ Owner

Phone

(972) 923-0005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystle Monique Moreland, DC

  • Chiropractor
  • Waxahachie, TX
  • NPI 1396234233
  Medicare reassignment NPD Authorized official
• Linda J Cosgrove, DC

  • Chiropractor
  • Waxahachie, TX
  • NPI 1396811691
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1982254447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WATER ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653260",
            "telephone_number": "972-923-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WATER ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653260",
            "telephone_number": "972-923-2616",
            "fax_number": "972-937-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PACE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "972-923-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.