STANDIFER CHIROPRACTIC CLINIC P.C. NPI 1508086281

NPI Information

NPI: 1508086281
Provider Name: STANDIFER CHIROPRACTIC CLINIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3314 W KIEST BLVD
DALLAS, TX
ZIP 75233
Phone: (214) 623-0505
Get Directions

STANDIFER CHIROPRACTIC CLINIC, P.C. 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. STANDIFER CHIROPRACTIC CLINIC, P.C. NPI is 1508086281. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3314 W KIEST BLVD
DALLAS, TX
ZIP 75233-102
Phone: (214) 623-0505
Fax: (214) 623-0520

The provider's authorized official is Jeffrey Shawn Standifer .
The authorized official title is Owner and has the following contact phone number (214) 623-0505.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 12/14/2008.

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	111NP0017X	Chiropractor	Pediatric Chiropractor	8482	TEXAS	No
2	111NR0200X	Chiropractor	Radiology	8482	TEXAS	No
3	111NR0400X	Chiropractor	Rehabilitation	8482	TEXAS	No
4	111NS0005X	Chiropractor	Sports Physician	8482	TEXAS	No
5	111NN1001X	Chiropractor	Nutrition	8482	TEXAS	No
6	111NX0800X	Chiropractor	Orthopedic	8482	TEXAS	No
7	111N00000X	Chiropractor		8482	TEXAS	Yes

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	10862	OTHER	TEXAS	PARKLAND
2	8535N0	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PERSONAL
3	1463325-01	MEDICAID	TEXAS
4	0021GW	OTHER	TEXAS	BCBS GROUP
5	106750	OTHER	TEXAS	AMERIGROUP
6	141697602	MEDICAID	TEXAS
7	P00319103	OTHER	TEXAS	MEDICARE RAILROAD
8	8B8920	OTHER	TEXAS	BCBS PERSONAL
9	U82778	MEDICARE UPIN	TEXAS
10	00751R	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GROUP
11	7691324	OTHER	TEXAS	AETNA
12	0073260	OTHER	TEXAS	BCBS BLUE LINK
13	1003821778	OTHER	TEXAS	PERSONAL NPI

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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