Individual provider Active NPI

Mary Dadufalza, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1235169939
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9398 Issued in TX
Practice address
805 Washington Dr Ste F
Arlington, TX 76011-2528
Phone
(817) 459-0220
Fax
(817) 704-0108
NPI assigned
Jul 5, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9398 TX Primary

Addresses

Primary practice location

805 Washington Dr Ste F
Arlington, TX 76011-2528

Mailing address

805 Washington Dr Ste F
Arlington, TX 76011-2528
Phone (817) 459-0220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000532 TX Practitioner - Chiropractic 0840338786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Life Medical PLLCGroup PAC ID 3173864865, 2 clinicians

Practice addresses (Care Compare)

805 Washington Dr
Suite F
Arlington, TX 76011-2528
Phone (214) 334-6512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Life Medical PLLC Dba Apex Integrative Health CurrentSince Feb 11, 2019 Accepting new patients

Locations

805 Washington Dr
Ste F
Arlington, TX 76011
Phone (214) 334-6512

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235169939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON DR STE F",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112528",
            "telephone_number": "817-459-0220",
            "fax_number": "817-459-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON DR STE F",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112528",
            "telephone_number": "817-459-0220",
            "fax_number": "817-704-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADUFALZA",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.