Active NPI
Janet D Nevil, LO, BOCO, CPED
- Orthotist
- Dallas, TX
National Provider Identifier
1144066853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 542
- Practice address
- 3902 Gaston Ave
Dallas, TX 75246-1511 - Phone
- (214) 824-4507
- Fax
- (214) 824-7553
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 542 | TX | Primary |
Addresses
Primary practice location
3902 Gaston Ave
Dallas, TX 75246-1511
Mailing address
3902 Gaston Ave
Dallas, TX 75246-1511
Phone (214) 824-4507
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 |
|---|---|---|---|
| 542 | TX | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Brace Co., Inc. | Orthotist | Current | Accepting new patients |
Locations
3902 Gaston Ave
Dallas, TX 75246
Phone (214) 824-4507
Organizations & group practices 1
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": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1144066853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461511",
"telephone_number": "214-824-4507",
"fax_number": "214-824-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461511",
"telephone_number": "214-824-4507",
"fax_number": "214-824-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVIL",
"first_name": "JANET",
"middle_name": "D",
"credential": "LO, BOCO, CPED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 2, 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.