Organization Active NPI

Innate Healthcare, PLLC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1992218598
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8232 Issued in TX
Legal business name
INNATE HEALTHCARE, PLLC
Practice address
3447 Renner Rd Ste 100B
Plano, TX 75074-0051
Phone
(972) 200-7090
Fax
(972) 736-7077
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Dr. Brandon Marshall Bonds, DCNPI 1881616860
Title
Owner
Phone
(972) 838-8951

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 8232 TX Primary

Addresses

Primary practice location

3447 Renner Rd Ste 100B
Plano, TX 75074-0051

Mailing address

3447 Renner Rd Apt 100B
Plano, TX 75074-0051
Phone (972) 200-7090

Other names 2

  • Sports & Spine Chiropractic Doing business as
  • Sports and Spine Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214001072 TX Part B Supplier - Clinic/Group Practice 6002176955 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

3447 Renner Rd
Apt 100B
Plano, TX 75074

3447 Renner Rd
Ste 100B
Plano, TX 75074
Phone (972) 200-7090

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": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1992218598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 RENNER RD APT 100B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740051",
            "telephone_number": "972-200-7090",
            "fax_number": "972-736-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 RENNER RD STE 100B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740051",
            "telephone_number": "972-200-7090",
            "fax_number": "972-736-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-838-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports & Spine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports and Spine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports and Spine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.