BELTLINE MEDICAL ASSOCIATES PA NPI 1437201340

NPI Information

NPI: 1437201340
Provider Name: BELTLINE MEDICAL ASSOCIATES PA

Doing Business As: ADVANCED WELLNESS & REHAB CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6029 BELT LINE RD STE 100
DALLAS, TX
ZIP 75254
Phone: (972) 392-7008
Get Directions

BELTLINE MEDICAL ASSOCIATES PA is a chiropractor in Dallas, TX. The provider is 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. BELTLINE MEDICAL ASSOCIATES PA NPI is 1437201340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Wellness & Rehab Center.

The provider's business location address is:

6029 BELT LINE RD STE 100
DALLAS, TX
ZIP 75254-137
Phone: (972) 392-7008
Fax: (972) 392-1171

The provider's authorized official is Reynardo L Adorable .
The authorized official title is Facility Administrator and has the following contact phone number (972) 392-7008.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC4635	TEXAS	Yes
2	171100000X	Acupuncturist		DC4635	TEXAS	X
3	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		G2646	TEXAS	X
4	208VP0000X	Pain Medicine	Pain Medicine	G2646	TEXAS	X
5	208VP0014X	Pain Medicine	Interventional Pain Medicine	G2646	TEXAS	X
6	225100000X	Physical Therapist		DC4635	TEXAS	X
7	225X00000X	Occupational Therapist		111489	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8J3270	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	8T4335	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	8J3272	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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