Individual provider Active NPI

Artelia Wadley, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1407251101
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12722 Issued in TX
Practice address
1701 River Run Ste 911
Fort Worth, TX 76107
Phone
(817) 888-8642
Fax
(817) 349-0982
NPI assigned
Oct 24, 2014
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 12722 TX Primary

Addresses

Primary practice location

1701 River Run Ste 911
Fort Worth, TX 76107

Mailing address

1701 River Run Ste 911
Fort Worth, TX 76107-6555
Phone (817) 888-8642

Other practice location 1

1751 River Run
Suite 200
Fort Worth, TX 76107-6644
Phone (669) 252-0105

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12722TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1407251101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 911",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076555",
            "telephone_number": "817-888-8642",
            "fax_number": "817-349-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 911",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "817-888-8642",
            "fax_number": "817-349-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 River Run",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076644",
            "country_code": "US",
            "telephone_number": "669-252-0105",
            "fax_number": "669-252-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "ARTELIA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12722",
            "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 May 22, 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.