ETHOS REGENERATIVE MEDICAL GROUP PLLC
NPI 1306016282
Chiropractor in Irving, TX

Active since March 06, 2008
300 E. ROYAL LN, SUITE 110, IRVING, TX 75039(972) 409-0016(972) 409-0013 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2019, May 16, 2019 (2 updates tracked since 2019).

About Ethos Regenerative Medical Group Pllc NPPES

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

ETHOS REGENERATIVE MEDICAL GROUP PLLC (NPI 1306016282) is a healthcare organization registered as a chiropractor in Irving, Texas and active in the NPI registry since March 2008. The organization lists Jason Cory Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1306016282
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameETHOS REGENERATIVE MEDICAL GROUP PLLC
Location Address300 E. ROYAL LN, SUITE 110Irving, TX 75039
Mailing Address300 E. Royal Ln, Suite 110Irving, TX 75039 · (972) 409-0016 · Fax (972) 409-0013
Fax(972) 409-0013
Organization SubpartNo
Authorized OfficialJason Cory BlackOwner · (972) 409-0016
Enumeration DateMarch 6, 2008
Last NPPES UpdateMay 20, 20192 updates tracked since enumeration
NPI 1306016282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 8277
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.
300 E. ROYAL LN, Irving, TX 75039

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

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 Ethos Regenerative Medical Group PLLC's NPI number?

The NPI number for Ethos Regenerative Medical Group PLLC is 1306016282. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Ethos Regenerative Medical Group PLLC located?

Ethos Regenerative Medical Group PLLC is located at 300 E. Royal Ln Suite 110, Irving, TX 75039. The listed phone number is (972) 409-0016.

What is Ethos Regenerative Medical Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethos Regenerative Medical Group PLLC was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.