Active NPI
Bruce Ellis Amason, D.C.
- Chiropractor
- Lewisville, TX
National Provider Identifier
1306862131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2830
- Practice address
- 487 Crockett
Lewisville, TX 75057-3653 - Phone
- (972) 436-9785
- Fax
- (972) 436-6068
- NPI assigned
- Jul 14, 2006
- Last updated
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2830 | TX | Primary |
Addresses
Primary practice location
487 Crockett
Lewisville, TX 75057-3653
Mailing address
487 Crockett
Lewisville, TX 75057-3653
Phone (972) 436-9785
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 |
|---|---|---|---|
| 2830 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1306862131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 CROCKETT",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573653",
"telephone_number": "972-436-9785",
"fax_number": "972-436-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 CROCKETT",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573653",
"telephone_number": "972-436-9785",
"fax_number": "972-436-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMASON",
"first_name": "BRUCE",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.