Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124629662 Individual Practitioner Female Practitioner

Dr. Lisa I Ly , DC

Chiropractor • Grand Prairie, TX

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Ly, DC is a registered healthcare professional specializing in Chiropractor in Grand Prairie, TX. Practice services are available at 2133 S GREAT SOUTHWEST PKWY STE 505 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2133 S Great Southwest Pkwy Ste 505

Grand Prairie, TX 750513546

Telephone 9726472400
Fax 9726233400
Associated Practice Facility / Clinic
🏢 Sanvan Inc Facility NPI 1205007838

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Grand Prairie, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Grand Prairie, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-02
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 14518

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Chiropractic
14518 (TX)

Secondary Practice Locations

2133 S Great Southwest Pkwy Ste 505

Grand Prairie, TX 750513546

Phone: 9726472400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1013200500

Doctor of Chiropractic

NPI 1235407479

Doctor of Chiropractic

Leonardo Grifaldo

Chiropractor - Rehabilitation

NPI 1407746340
NPI 1649670514

Doctor of Chiropractic

NPI 1730196544

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2020

Registered at 2133 S GREAT SOUTHWEST PKWY STE 505, GRAND PRAIRIE, TX 750513546 (Tel: 9726472400)

📍
Updated Business Mailing Address November 02, 2020

Registered at 2133 S GREAT SOUTHWEST PKWY STE 505, GRAND PRAIRIE, TX 750513546 (Tel: 7264724009)

👤
Provider Name / Credentials Updated November 02, 2020

Recorded as LISA LY, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2020

Chiropractor (License #14518 in TX)

🟢
Initial NPI Registration & Enumeration November 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124629662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2020
Last Update: November 02, 2020
Sole Proprietor: No

Mailing Address

2133 S Great Southwest Pkwy Ste 505

Grand Prairie, TX 750513546

Phone: 7264724009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.