Dedra A Fite, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6543 Issued in TX

Practice address

5609 SW Green Oaks Blvd
Ste. 103
Arlington, TX 76017-1163

Phone

(817) 483-3975

Fax

(817) 478-8405

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Corecare Chiropractic and Wellness PLLC

  • Chiropractor
  • Arlington, TX
  • NPI 1679443469
  Medicare reassignment NPD
• Cowtown Chiropractic

  • Chiropractor
  • Fort Worth, TX
  • NPI 1063987956
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1174534432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD",
            "address_2": "STE. 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171163",
            "telephone_number": "817-483-3975",
            "fax_number": "817-478-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 SW GREEN OAKS BLVD",
            "address_2": "STE. 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171163",
            "telephone_number": "817-483-3975",
            "fax_number": "817-478-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITE",
        "first_name": "DEDRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001883001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Carol Fisher, M.D.
• Morgan Fisher, PA-C
• Nellie Fisher, PT, DPT
• Tye Fisher, PHARMD
• Fit Temple 365 PLLC
• Fitted Medical Equipment, LLC
• Casey A Fitzgerald, D.C.
• Kristin Michelle Fitzgerald, BA
• Fitzhugh Enterprises Inc (Patients Choice)
• Rachelle Fiuza

• Chiropractor in Arlington, TX
• Providers in Arlington, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.