MODUS VIVENDI CHIROPRACTIC PLLC (NPI# 1801106299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801106299 |
| Entity Type | Organization |
| Organization Name | MODUS VIVENDI CHIROPRACTIC PLLC |
| Other Organization Name | ACTIVE FAMILY WELLNESS CENTER |
| Practice Address |
4120 N Collins St Ste 200 Arlington TX 76005-4554 |
| Mailing Address |
4927 S Collins St Ste 105 Arlington TX 76018-1167 |
| Practice Telephone | 8175572770 |
| Practice Fax Number | 8175571795 |
| Mailing Telephone | 8175572770 |
| Mailing Fax Number | 8175571795 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | DR. KENYON GODWIN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8175572770 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11576 | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Active Family Wellness Center | Doing Business As Name - Organization |
| Modus Vivendi Chiropractic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4927 S Collins St Ste 105, Arlington, TX 760181167 | 8175572770 | 8175571795 |
| Street Address |
4120 N COLLINS ST STE 200 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76005-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257398 | Shazia Lackey | Nurse Practitioner | 4120 N Collins St Ste 200, Arlington, TX 76005-4554 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398035 | Paul Ooyi | Nurse Practitioner | 1127 Autumn Mist Way, Arlington, TX 76005 | 2018-06-05 |
| 1801388483 | Mercy Bishop | Nurse Practitioner | 4100 N. Collins Street, Suite 200, Arlington, TX 76005 | 2018-05-31 |
| 1134621683 | Ntombizodwa Sayi | Nurse Practitioner | 1225 Harris Hawk Way, Arlington, TX 76005 | 2018-03-01 |
| 1659887248 | Rrr Hyperbarics 5, LLC | Preventive Medicine | 4150 N. Collins Street, Arlington, TX 76005 | 2017-12-19 |
| 1265942098 | Subei Medical Pllc | Clinic/Center | 4130 N Collins St, Arlington, TX 76005 | 2017-10-06 |
| 1083025498 | Tina Roopani | Family Medicine | 4100 N. Collins St., Suite 200, Arlington, TX 76005 | 2014-05-20 |
| 1528263852 | Nakizito N Kazigo | Emergency Medicine | 1217 Viridian Park Ln, Arlington, TX 76005 | 2007-06-18 |
| 1124019260 | Shabana Parvez | Emergency Medicine | 4135 Cascade Sky Dr, Arlington, TX 76005 | 2005-10-28 |
| 1194182543 | Lthc Solutions LLC | Internal Medicine | 1217 Viridian Park Ln, Arlington, TX 76005-1117 | 2016-01-15 |
| 1538633532 | Ledda Espinoza | Specialist/Technologist | 4622 Copper Mountain Trl, Arlington, TX 76005-1219 | 2019-01-14 |
| Find all providers in zip 76005 | ||||
| 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 |
|---|---|---|---|---|
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1417562075 | La'keisha Chanathan Taylor | Chiropractor | 4927 S Collins St Ste 105, Arlington, TX 76018-1167 | 2020-09-10 |
| 1265056832 | Monica Nguyen | Chiropractor | 201 E Lynn Creek Dr, Arlington, TX 76002-2774 | 2020-05-30 |
| 1013554591 | Rxwellness Spine & Health - Arlington LLC | Chiropractor | 3110 10th St N Ste A, Arlington, VA 22201-2070 | 2019-12-04 |
| 1225672116 | Jordan Miller | Chiropractor | 1201 Road To Six Flags St E Ste 103, Arlington, TX 76011-5044 | 2019-11-04 |
| 1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
| 1629623053 | Kellus Ray Pruitt | Chiropractor | 808 Valley Oaks Ct, Arlington, TX 76012-2864 | 2019-08-02 |
| 1144874041 | Laura Armida Torrez | Chiropractor | 2502 Hunter Hill Dr, Arlington, TX 76012-5519 | 2019-07-29 |
| 1700447422 | Dr. Lacy Stice, LLC | Chiropractor | 4623 S Cooper St Ste 135, Arlington, TX 76017-5831 | 2019-06-24 |
| 1174180459 | Daniel N O'brien | Chiropractor | 113 W Division St, Arlington, WA 98223-1239 | 2019-05-22 |
| Find all providers in ARLINGTON | ||||
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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.