Organization Active NPI

Grit Chiropractic & Sports Medicine PLLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1992136535
Registry record updated Dec 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12487 Issued in TX
Legal business name
GRIT CHIROPRACTIC & SPORTS MEDICINE PLLC
Practice address
4755 McEwen Rd
Dallas, TX 75244-5310
Phone
(214) 336-3583
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2013

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

Authorized official

Name
Dr. Roy R Clements, D.C.NPI 1679811483
Title
Owner
Phone
(214) 986-4451

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12487 TX Primary

Addresses

Primary practice location

4755 McEwen Rd
Dallas, TX 75244-5310

Mailing address

6631 Roundrock Rd
Dallas, TX 75248-5022
Phone (214) 986-4451

Other names 1

  • Grit Sports Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4755 McEwen Rd
Dallas, TX 75244
Phone (214) 336-3583

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": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386460800000",
    "number": "1992136535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 ROUNDROCK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752485022",
            "telephone_number": "214-986-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 MCEWEN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445310",
            "telephone_number": "214-336-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIT CHIROPRACTIC & SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2013-12-08",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-986-4451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grit Sports Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.