Organization Active NPI

Native Chiropractic & Wellness

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1114633294
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NATIVE CHIROPRACTIC & WELLNESS
Practice address
3102 Swiss Ave
Dallas, TX 75204-6025
Phone
(469) 291-9129
Fax
(214) 821-9040
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Kimberley Nichole Azcarate - Silva, D.C.NPI 1518559582
Title
Chiropractor / Owner
Phone
(915) 667-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3102 Swiss Ave
Dallas, TX 75204-6025

Mailing address

4215 Munger Ave
Dallas, TX 75204-4417
Phone (915) 667-0096

Other identifiers 1

IdentifierTypeStateIssuer
14692OtherTXCHIROPRACTOR- 111N00000X

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@nativechiropracticwellness.com Direct

National Provider Directory

National Provider Directory

Locations

3102 Swiss Ave
Dallas, TX 75204
Phone (469) 291-9129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1114633294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 MUNGER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044417",
            "telephone_number": "915-667-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046025",
            "telephone_number": "469-291-9129",
            "fax_number": "214-821-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "AZCARATE - SILVA",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "915-667-0096",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR- 111N00000X",
            "identifier": "14692",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@nativechiropracticwellness.com",
            "affiliation": "N",
            "endpointDescription": "Business private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3102 Swiss Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752046025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.