Organization Active NPI

Siloam Chiropractic & Acupuncture, PLLC

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1992009567
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9211 Issued in TX
Legal business name
SILOAM CHIROPRACTIC & ACUPUNCTURE, PLLC
Practice address
3043 Old Denton Rd
Ste 106
Carrollton, TX 75007-5036
Phone
(972) 820-0993
Fax
(972) 820-0995
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Ha Chang Song, D.C.
Title
Owner
Phone
(972) 820-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9211 TX Primary

Addresses

Primary practice location

3043 Old Denton Rd
Ste 106
Carrollton, TX 75007-5036

Mailing address

3043 Old Denton Rd
Ste 106
Carrollton, TX 75007-5036
Phone (972) 820-0993

Other identifiers 1

IdentifierTypeStateIssuer
1366613176OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

3043 Old Denton Rd
Ste 106
Carrollton, TX 75007
Phone (972) 820-0993

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": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1992009567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "STE 106",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-820-0993",
            "fax_number": "972-820-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "STE 106",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-820-0993",
            "fax_number": "972-820-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM CHIROPRACTIC & ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HA",
        "authorized_official_middle_name": "CHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-820-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366613176",
            "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 Jun 7, 2011; 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.