Organization Active NPI

Evidence Medical Technologies Emt

  • Chiropractor
  • Benbrook, TX
National Provider Identifier
1285928036
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVIDENCE MEDICAL TECHNOLOGIES EMT
Practice address
1008 Winscott Rd
Benbrook, TX 76126-2778
Phone
(469) 814-8681
Fax
(469) 814-8268
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Percy Chaby
Title
Member LLC
Phone
(469) 814-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1008 Winscott Rd
Benbrook, TX 76126-2778

Mailing address

1208 Lake Meadow Dr
Mansfield, TX 76063-4016
Phone (469) 814-8681

Other names 1

  • EMT Other name

National Provider Directory

National Provider Directory

Locations

1008 Winscott Rd
Benbrook, TX 76126
Phone (469) 814-8681

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1285928036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 LAKE MEADOW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634016",
            "telephone_number": "469-814-8681",
            "fax_number": "469-814-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WINSCOTT RD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262778",
            "telephone_number": "469-814-8681",
            "fax_number": "469-814-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE MEDICAL TECHNOLOGIES EMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "CHABY",
        "authorized_official_first_name": "PERCY",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "469-814-8681"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.