Active NPI
Artelia Wadley, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1407251101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12722
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12722 | TX | MD | Addiction (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.