MAGNOLIA CHIROPRACTIC, P.A.
NPI 1104837756
Chiropractor in Irving, TX

Q: What is Magnolia Chiropractic, P.A.'s NPI number?

The NPI number for Magnolia Chiropractic, P.A. is 1104837756. It was assigned to this organization in the NPPES registry on August 10, 2006.

Q: What is Magnolia Chiropractic, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 10, 2006

139 S MAIN ST, IRVING, TX 75060(972) 554-1511(972) 554-1513 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Magnolia Chiropractic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA CHIROPRACTIC, P.A. (NPI 1104837756) is a healthcare organization registered as a chiropractor in Irving, Texas and active in the NPI registry since August 2006. The organization lists Jacque Keil, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1104837756

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameMAGNOLIA CHIROPRACTIC, P.A.

Location Address139 S MAIN STIrving, TX 75060-2926

Mailing Address139 S Main StIrving, TX 75060-2926 · (972) 554-1511 · Fax (972) 554-1513

Phone(972) 554-1511

Fax(972) 554-1513

Organization SubpartNo

Authorized OfficialJacque KeilBilling Manager · (817) 557-2982

Enumeration DateAugust 10, 2006

Last NPPES UpdateApril 27, 2011

✔ NPI 1104837756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

139 S MAIN ST, Irving, TX 75060

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Chiropractic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Chiropractic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nikisha Mcdaniel, DC

Chiropractic

NPI 1780629246

1430 N MACARTHUR BLVD SUITE 104
Irving, TX 75061

(972) 554-1511

✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Chiropractic, P.A.'s NPI number?

The NPI number for Magnolia Chiropractic, P.A. is 1104837756. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Magnolia Chiropractic, P.A. located?

Magnolia Chiropractic, P.A. is located at 139 S Main St, Irving, TX 75060. The listed phone number is (972) 554-1511.

What is Magnolia Chiropractic, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Magnolia Chiropractic, P.A. enrolled in Medicare?

Yes. Magnolia Chiropractic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Chiropractic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Magnolia Chiropractic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Chiropractic, P.A. was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.