Active NPI
Michael Wayne Phillips, D.C.
- Nutrition Chiropractor
- Arlington, TX
National Provider Identifier
1114164613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 8069
- Practice address
- 1601 E Lamar Blvd
Suite 100
Arlington, TX 76011-4510 - Phone
- (817) 801-5111
- Fax
- (817) 801-5222
- NPI assigned
- Jan 21, 2009
- Last updated
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 8069 | TX | Primary |
Addresses
Primary practice location
1601 E Lamar Blvd
Suite 100
Arlington, TX 76011-4510
Mailing address
1601 E Lamar Blvd
Suite 100
Arlington, TX 76011-4510
Phone (817) 801-5111
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8069 | TX | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1114164613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E LAMAR BLVD",
"address_2": "SUITE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760114510",
"telephone_number": "817-801-5111",
"fax_number": "817-801-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E LAMAR BLVD",
"address_2": "SUITE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760114510",
"telephone_number": "817-801-5111",
"fax_number": "817-801-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "8069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.