Organization Active NPI

Ennis Veterinary Clinic PC

  • Veterinarian
  • Ennis, TX
National Provider Identifier
1992711378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
Legal business name
ENNIS VETERINARY CLINIC PC
Practice address
3101 North Kaufman St
Ennis, TX 75119-7920
Phone
(972) 875-2647
Fax
(972) 875-2648
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Norman Chancellor, DVM
Title
President
Phone
(972) 875-2647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X Primary

Addresses

Primary practice location

3101 North Kaufman St
Ennis, TX 75119-7920

Mailing address

3101 North Kaufman St
Ennis, TX 75119-7920
Phone (972) 875-2647

National Provider Directory

National Provider Directory

Locations

3101 N Kaufman St
Ennis, TX 75119
Phone (972) 875-2647

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992711378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 NORTH KAUFMAN ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751197920",
            "telephone_number": "972-875-2647",
            "fax_number": "972-875-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NORTH KAUFMAN ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751197920",
            "telephone_number": "972-875-2647",
            "fax_number": "972-875-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS VETERINARY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-875-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.