Active NPI
Natasha Nicole Wrinkle, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1124883186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15940
- Practice address
- 8401 Anderson Blvd
Fort Worth, TX 76120-3857 - Phone
- (817) 609-6281
- NPI assigned
- Feb 19, 2024
- 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 | 15940 | TX | Primary |
Addresses
Primary practice location
8401 Anderson Blvd
Fort Worth, TX 76120-3857
Mailing address
3500 Sarra LN
Springtown, TX 76082-7602
Phone (817) 565-6307
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 |
|---|---|---|---|
| 15940 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1124883186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SARRA LN",
"city": "SPRINGTOWN",
"state": "TX",
"postal_code": "760827602",
"telephone_number": "817-565-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 ANDERSON BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761203857",
"telephone_number": "817-609-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRINKLE",
"first_name": "NATASHA",
"middle_name": "NICOLE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.