Organization Active NPI

More Life Chiropractic & Wellness

Doing business as Pinnacle Health Center

  • Chiropractor
  • Sachse, TX
National Provider Identifier
1982478657
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MORE LIFE CHIROPRACTIC & WELLNESS
Doing business as
Pinnacle Health Center
Practice address
7214 Highway 78 Ste 14
Sachse, TX 75048-2502
Phone
(469) 626-7360
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Dr. Juan Vidales, DC
Title
Owner/ Chiropractor
Phone
(575) 937-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7214 Highway 78 Ste 14
Sachse, TX 75048-2502

Mailing address

1702 Goodfield LN
Garland, TX 75042-3963
Phone (575) 937-6667

Other identifiers 2

IdentifierTypeStateIssuer
1013599075MedicaidTX
1023602406MedicaidTX

Other names 1

  • Pinnacle Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

7214 Highway 78
Ste 14
Sachse, TX 75048
Phone (469) 626-7360

Practitioners & affiliated clinicians

Practitioners 1

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": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1982478657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 GOODFIELD LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423963",
            "telephone_number": "575-937-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 HIGHWAY 78 STE 14",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482502",
            "telephone_number": "469-626-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE LIFE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "VIDALES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "575-937-6667",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013599075",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023602406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.