NPI 1366857005 · live from the CMS NPI Registry
21stcenturychiropractic
Chiropractor in Dallas, TX. National Provider Identifier 1366857005, active.
NPI record
| NPI | 1366857005 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 2739 Bachman Dr, Dallas, TX 75220 |
| Practice phone | 214-366-1133 |
| Enumerated | June 20, 2014 |
| Last updated | June 20, 2014 |
| Authorized official | Nicholas Chamberlain, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 6972 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.