Individual provider Active NPI

Debra Ann Guevara, D.C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1336540996
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12743 Issued in TX
Practice address
720 E Park Blvd Ste 206
Plano, TX 75074
Phone
(214) 280-0771
Fax
(214) 299-8618
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12743 TX Primary

Addresses

Primary practice location

720 E Park Blvd Ste 206
Plano, TX 75074

Mailing address

720 E Park Blvd Ste 206
Plano, TX 75074-8802
Phone (214) 280-0771

Other practice location 1

3013 Dibrell Dr
Plano, TX 75023-5611
Phone (214) 280-0771

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
12743TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Hands Chiropractic Chiropractor PastSince Sep 15, 2014 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1336540996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748802",
            "telephone_number": "214-280-0771",
            "fax_number": "214-299-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E PARK BLVD STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "214-280-0771",
            "fax_number": "214-299-8618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3013 Dibrell Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750235611",
            "country_code": "US",
            "telephone_number": "214-280-0771",
            "fax_number": "972-612-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.