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1316233687 NPI number — RIGGS REHAB AND SPORT PERFORMANCE

NPI Number: 1316233687
Health Care Provider/Practitioner: RIGGS REHAB AND SPORT PERFORMANCE

Information about “1316233687” NPI (RIGGS REHAB AND SPORT PERFORMANCE) exists in 1316233687 in HTML format HTML  |  1316233687 in plain Text format TXT  |  1316233687 in PDF (Portable Document Format) PDF  |  1316233687 in an XML format XML  formats.

NPI Number : 1316233687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316233687",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RIGGS REHAB AND SPORT PERFORMANCE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2626 REAGAN ST",
    "SecondLineMailingAddress": "SUITE 346",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75219-3305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-521-0600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3102 OAK LAWN",
    "SecondLinePracticeLocationAddress": "SUITE 300",
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75219-6419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-521-0600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/24/2011",
    "LastUpdateDate": "06/24/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIGGS",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": "MARK",
    "AuthorizedOfficialTitle": "OWNER/PRACTITIONER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "214-521-0600",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111NR0400X",
          "TaxonomyName": "Rehabilitation Chiropractor",
          "LicenseNumber": "10422",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "10422",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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