Organization Active NPI

Dna Medical

  • Family Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1164902409
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DNA MEDICAL
Practice address
3736 Bee Caves Rd Ste 9
West Lake Hills, TX 78746-5378
Phone
(512) 347-8881
Fax
(512) 347-8882
NPI assigned
Aug 16, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Ms. Brandy Corbett
Title
Office Manager
Phone
(512) 347-8881

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

3736 Bee Caves Rd Ste 9
West Lake Hills, TX 78746-5378

Mailing address

3736 Bee Caves Rd Ste 9
West Lake Hills, TX 78746-5378
Phone (512) 347-8881

Other identifiers 2

IdentifierTypeStateIssuer
10195OtherTXCHIROPRACTOR
Q7641OtherTXFAMILY MEDICINE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1164902409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 BEE CAVES RD STE 9",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465378",
            "telephone_number": "512-347-8881",
            "fax_number": "512-347-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 BEE CAVES RD STE 9",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465378",
            "telephone_number": "512-347-8881",
            "fax_number": "512-347-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-347-8881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "10195",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "Q7641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.