MEDICARE: ADVANCED SPINAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	11233	TX

General Provider Information

NPI Number	:	1306152566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SPINAL THERAPY

Provider Business Mailing Address
First Line	:	1121 KINWEST PKWY
Second Line	:	STE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3135
Country	:	US
Telephone Number	:	972-401-2345
Fax Number	:	214-522-9428

Provider Business Practice Location Address
First Line	:	1121 KINWEST PKWY
Second Line	:	STE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3135
Country	:	US
Telephone Number	:	972-401-2345
Fax Number	:	214-522-9428

Authorized Official
Title or Position	:	OWNER
Name	:	CODY ZEPEDA
Credential	:	DC
Telephone Number	:	972-401-2345

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

Similar Medicare Providers

1891727269 — DR. STEPHEN B WALLER D.C.
Practice Location Address:

1121 KINWEST PKWY , SUITE 100
IRVING, TX
75063-3135

Practice Phone: 972-550-6190
Practice Fax: 972-550-6013

1952598195 — INJURY ASSISTANCE CENTERS, INC.
Practice Location Address:

1121 KINWEST PKWY , SUITE 100
IRVING, TX
75063-3135

Practice Phone: 972-401-1699
Practice Fax: 214-522-9428

1790944809 — ST ONGE CHIROPRACTIC & SPORTS THERAPY
Practice Location Address:

1121 KINWEST PKWY , 100
IRVING, TX
75063-3135

Practice Phone: 972-444-8585
Practice Fax: 888-463-8877

1134355100 — PINNACLE HEALTH CHIROPRACTIC
Practice Location Address:

1121 KINWEST PKWY , SUITE 100
IRVING, TX
75063-3135

Practice Phone: 972-401-2345
Practice Fax: 214-522-9428

1023249489 — RENEWED CHIROPRACTIC AND WELLNESS CENTER, PLLC
Practice Location Address:

1121 KINWEST PKWY , SUITE 100
IRVING, TX
75063-3135

Practice Phone: 972-401-2345
Practice Fax: 214-522-9428

1689997264 — TOTAL BODY REHAB AND WELLNESS
Practice Location Address:

1121 KINWEST PKWY , STE: 100
IRVING, TX
75063-3135

Practice Phone: 972-401-2345
Practice Fax: 888-509-1466

Directions to “ADVANCED SPINAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.