Active NPI
Karly Kaye Newbern, D.C.
- Chiropractor
- College Station, TX
National Provider Identifier
1083888259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10699
- Practice address
- 505 University Dr
Suite 803
College Station, TX 77840-1353 - Phone
- (214) 477-9867
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10699 | TX | Primary |
Addresses
Primary practice location
505 University Dr
Suite 803
College Station, TX 77840-1353
Mailing address
505 University Dr
Suite 803
College Station, TX 77840-1353
Phone (214) 477-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10699 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1083888259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 UNIVERSITY DR",
"address_2": "SUITE 803",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778401353",
"telephone_number": "214-477-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 UNIVERSITY DR",
"address_2": "SUITE 803",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778401353",
"telephone_number": "214-477-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERN",
"first_name": "KARLY",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.