Prime Life Chiropractic
Prime Life Chiropractic is a healthcare organization registered as Chiropractor in Plano, TX, holding Type 2 (organization) NPI 1861504383 since 2006. The authorized official on file is Shae Anderson, Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861504383 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prime Life Chiropractic |
| Practice address | 2504 K AVE, SUITE 500, Plano, TX, 75074 |
| Phone | 9724242225 |
| Fax | 9724247709 |
| Enumeration date | 2006-08-31 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Shae Anderson |
|---|---|
| Title | Officer |
| Phone | 9724242225 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | F006625 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J10A | Other | TX | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Prime Life Chiropractic NPI: 1861504383 Taxonomy: 111N00000X (Chiropractor) Address: 2504 K AVE, SUITE 500, Plano, TX, 75074
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174621288 | Jaclyn Fulcher | Individual | Chiropractor | Plano, TX |
Verify this record
Cross-check NPI 1861504383 against the authoritative CMS record: view Prime Life Chiropractic on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Prime Life Chiropractic located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.