Provider Demographics
NPI:1891123311
Name:DOWNTOWN CHIROPRACTIC, CORP.
Entity Type:Organization
Organization Name:DOWNTOWN CHIROPRACTIC, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-954-4357
Mailing Address - Street 1:1018 E 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3315
Mailing Address - Country:US
Mailing Address - Phone:816-888-9524
Mailing Address - Fax:
Practice Address - Street 1:400 N SAINT PAUL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3114
Practice Address - Country:US
Practice Address - Phone:214-954-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty