Active NPI
Wesley R Duval, D.C., DACBR
- Radiology Chiropractor
- Southlake, TX
National Provider Identifier
1245233659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 11228
- Practice address
- 818 Stratford Dr
Southlake, TX 76092-7109 - Phone
- (817) 983-9955
- Fax
- (817) 900-8656
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 11228 | TX | Primary |
Addresses
Primary practice location
818 Stratford Dr
Southlake, TX 76092-7109
Mailing address
818 Stratford Dr
Southlake, TX 76092-7109
Phone (817) 983-9955
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11228 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245233659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 STRATFORD DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927109",
"telephone_number": "817-983-9955",
"fax_number": "817-900-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 STRATFORD DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927109",
"telephone_number": "817-983-9955",
"fax_number": "817-900-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVAL",
"first_name": "WESLEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C., DACBR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "TX",
"license": "11228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.