EXCELSIUM LLC (NPI# 1821552506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821552506 |
| Entity Type | Organization |
| Organization Name | EXCELSIUM LLC |
| Other Organization Name | THRIVE CHIROPRACTIC |
| Practice Address |
9500 Ray White Rd Ste 200 Fort Worth TX 76244-9105 |
| Practice Telephone | 8177454546 |
| Mailing Telephone | 8177454546 |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2020-09-12 |
| Authorized Official Name | DR. JOHNNY TAM NGUYEN (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 8177454546 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Thrive Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EXCELSIUM LLC | 1945 Eastchester Road, Apt. 15c, The Bronx, Ny 10461 |
| Street Address |
9500 RAY WHITE RD STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336192087 | Steven L. Kellenberger | Chiropractor | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244 | 2006-05-17 |
| 1891308730 | The Institute of Neuropsychological Healthcare, Pllc | Psychologist | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2020-08-29 |
| 1033727730 | Demkia Chappell | Home Health | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2020-07-19 |
| 1003437997 | Lighthouse Psychological Services, Pllc | Clinic/Center | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2020-05-01 |
| 1376180174 | United Medical Equipment Business Solutions Network, Inc. | Durable Medical Equipment & Medical Supplies | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2019-11-30 |
| 1831671296 | Positive Perceptions | Clinic/Center | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2018-09-03 |
| 1962916171 | Konika Clay | Chore Provider | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2017-11-27 |
| 1619404506 | Irons Health Counseling Services In | Clinic/Center | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2017-05-22 |
| 1154591584 | Jeanette Ann Weems | Counselor | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244 | 2008-02-29 |
| 1689874588 | Robnita Health Care Services Inc | Home Health | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 1790393783 | Heather Rodriguez | Chiropractor | 6300 Ridglea Pl Ste 128, Fort Worth, TX 76116-5704 | 2020-07-16 |
| 1386265114 | Common Sense Health Solution LLC | Chiropractor | 11751 Alta Vista Rd Ste 203, Fort Worth, TX 76244-6442 | 2020-05-04 |
| 1831724533 | Colby King | Chiropractor | 9453 N Beach St, Fort Worth, TX 76244-9059 | 2020-03-03 |
| 1174157309 | Morton Medical Management, Pllc | Chiropractor | 7909 Gardengate Ln, Fort Worth, TX 76137-1071 | 2020-02-26 |
| 1164055141 | Fort Worth Chiropractic Clinic Pllc | Chiropractor | 2920 Oak Park Cir Ste 101, Fort Worth, TX 76109-1853 | 2020-02-18 |
| 1659902708 | Jordan Alan Tittle | Chiropractor | 2901 Acme Brick Plz Ste 201, Fort Worth, TX 76109-4124 | 2020-01-28 |
| 1518504141 | Rachel Spicer | Chiropractor | 4825 Overton Ridge Blvd Ste 316, Fort Worth, TX 76132-1425 | 2019-12-02 |
| 1942850086 | Aurora Marie Averill | Chiropractor | 2317 N Tarrant Pkwy Ste 451, Fort Worth, TX 76177-2214 | 2019-09-19 |
| 1972153641 | Levi Dean Skog | Chiropractor | 10761 Founders Way, Fort Worth, TX 76177-1574 | 2019-09-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on EXCELSIUM LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.