GENESIS BACK AND NECK (NPI# 1548490873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548490873 |
| Entity Type | Organization |
| Organization Name | GENESIS BACK AND NECK |
| Practice Address |
520 E Northwest Hwy Ste 102 Grapevine TX 76051-6298 |
| Practice Telephone | 8173910130 |
| Practice Fax Number | 8173910136 |
| Mailing Telephone | 8173910130 |
| Mailing Fax Number | 8173910136 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | MRS. BLANCA E WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 8173910130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10536 | TX | Chiropractic Providers |
| Street Address |
520 E NORTHWEST HWY STE 102 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164908463 | Raymond Westbrook Do Pa | Internal Medicine | 520 E Northwest Hwy Ste 102, Grapevine, TX 76051 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457868390 | Natalie Marie Moore | Chiropractor | 3500 William D Tate Ave Ste 175, Grapevine, TX 76051-8749 | 2017-12-31 |
| 1710402862 | Tony Wayne Kelsoe | Chiropractor | 3264 Shady Glen Dr, Grapevine, TX 76051-6502 | 2017-08-10 |
| 1568902047 | Kael Moulton | Chiropractor | 1450 Hughes Rd Ste 250, Grapevine, TX 76051-7364 | 2017-03-02 |
| 1710437090 | Daniel Lee Van Ackeren | Chiropractor | 3036 Thomas Ct, Grapevine, TX 76051-4768 | 2016-10-10 |
| 1205228095 | Grapevine Chiropractic LLC | Chiropractor | 2011 W Northwest Hwy, Ste 130, Grapevine, TX 76051-7857 | 2015-03-03 |
| 1699020594 | Dean Allen Dc | Chiropractor | 1244 William D Tate Ave, Grapevine, TX 76051-4030 | 2012-07-17 |
| 1295007326 | Jerrylee Otimeye Ejuwa | Chiropractor | 1025 S Main St Ste 305, Grapevine, TX 76051-7506 | 2012-02-06 |
| 1942501754 | James Matthew Dreadfulwater | Chiropractor | 2140 Hall Johnson Rd Ste 115, Grapevine, TX 76051-8754 | 2010-11-10 |
| 1588894794 | Synergy Wellness & Chiropractic, Pllc | Chiropractor | 2011 W Northwest Hwy Ste 130, Grapevine, TX 76051-7853 | 2009-07-22 |
| 1568609410 | Monroe Chiropractic & Sports Therapy, P.a. | Chiropractor | 2200 Pool Rd, Suite 108, Grapevine, TX 76051-4266 | 2009-01-14 |
| Find all providers in GRAPEVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.