Individual provider Active NPI

Sharyce Lyna Wise, D.C.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1124047808
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6348 Issued in TX
Practice address
4645 Avon LN Ste 130B
Frisco, TX 75033-1322
Phone
(469) 473-4005
Fax
(469) 473-4007
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6348 TX Primary

Addresses

Primary practice location

4645 Avon LN Ste 130B
Frisco, TX 75033-1322

Mailing address

4645 Avon LN Ste 130B
Frisco, TX 75033-1322
Phone (469) 473-4005

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

LicenseStateTypeSpecialty
6348TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic, P.a. Chiropractor CurrentSince Oct 23, 2022 Accepting new patients
Syferd Wellness Entities, P.a. Chiropractor Past Accepting new patients

Locations

4851 Legacy Dr
Ste 307
Frisco, TX 75034
Phone (972) 337-3909

4645 Avon Ln
Ste 130B
Frisco, TX 75033
Phone (469) 473-4005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1124047808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 130B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331322",
            "telephone_number": "469-473-4005",
            "fax_number": "469-473-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 130B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331322",
            "telephone_number": "469-473-4005",
            "fax_number": "469-473-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SHARYCE",
        "middle_name": "LYNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.