Organization Active NPI

Arteva, LLC

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1164779492
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11059 Issued in TX
Legal business name
ARTEVA, LLC
Practice address
2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800
Phone
(972) 539-2446
Fax
(972) 539-2066
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Arthur Boyd Bradley Jr., D.C.NPI 1700145125
Title
Manager
Phone
(469) 323-8739

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 11059 TX Primary

Addresses

Primary practice location

2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800

Mailing address

2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800
Phone (972) 539-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120814000453 TX Part B Supplier - Clinic/Group Practice 3870749435 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

2021 Justin Rd
Ste 132
Flower Mound, TX 75028
Phone (972) 355-0031

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": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1164779492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD",
            "address_2": "SUITE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283800",
            "telephone_number": "972-539-2446",
            "fax_number": "972-539-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD",
            "address_2": "SUITE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283800",
            "telephone_number": "972-539-2446",
            "fax_number": "972-539-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-323-8739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.