OrganizationActive
Ethos Regenerative Medical Group PLLC
NPI 1306016282 · Chiropractor · Irving, TX
Provider details
- NPI number
- 1306016282
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jason Black, Owner(972) 409-0016
- License
- 8277 (TX)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 E. Royal Ln
Suite 110
Irving, TX 75039
Phone: (972) 409-0016
Fax: (972) 409-0013
Street-level locationGet directions
Mailing address
300 E. Royal Ln
Irving, TX 75039
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2019-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.