Individual provider Active NPI

Evelia Aragon, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1073929279
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12677 Issued in TX
Practice address
12900 Preston Rd Ste 305
Dallas, TX 75230-1361
Phone
(214) 792-9910
Fax
(214) 792-9697
NPI assigned
Jul 8, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12677 TX Primary

Addresses

Primary practice location

12900 Preston Rd Ste 305
Dallas, TX 75230-1361

Mailing address

1200 Sherwood CT
Irving, TX 75061-9321
Phone (214) 783-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000211 TX Practitioner - Chiropractic 1759605561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Vida Center LLCGroup PAC ID 0840514659, 2 clinicians

Practice addresses (Care Compare)

12900 Preston Rd
Suite 305
Dallas, TX 75230-1361
Phone (469) 677-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12677TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Vida Center LLC Chiropractor CurrentSince Jul 21, 2014 Accepting new patients
Erwin a. Cruz, MD, PA PastSince Jul 21, 2014 Accepting new patients

Locations

12800 Preston Rd
Ste 102
Dallas, TX 75230
Phone (469) 677-0029

12900 Preston Rd
Ste 305
Dallas, TX 75230
Phone (214) 792-9910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1073929279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SHERWOOD CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750619321",
            "telephone_number": "214-783-3231",
            "fax_number": "214-783-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PRESTON RD STE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301361",
            "telephone_number": "214-792-9910",
            "fax_number": "214-792-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "EVELIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.