Individual provider Active NPI

Amber N Nevels, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1326558644
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13340 Issued in TX
Practice address
12584 N Beach St
Fort Worth, TX 76244-4249
Phone
(817) 431-2080
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13340 TX Primary

Addresses

Primary practice location

12584 N Beach St
Fort Worth, TX 76244-4249

Mailing address

5275 Town and Country Blvd Apt 2207
Frisco, TX 75034-6245
Phone (512) 619-4844

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

LicenseStateTypeSpecialty
13340TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1326558644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 TOWN AND COUNTRY BLVD APT 2207",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346245",
            "telephone_number": "512-619-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12584 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444249",
            "telephone_number": "817-431-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVELS",
        "first_name": "AMBER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.