Individual provider Active NPI

Brittany Priscilla Quiros Camacho, DC

  • Neurology Chiropractor
  • Frisco, TX
National Provider Identifier
1457190159
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
16058 Issued in TX
Practice address
3800 Gaylord Pkwy Ste 795
Frisco, TX 75034-1102
Phone
(214) 902-3400
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 16058 TX Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 795
Frisco, TX 75034-1102

Mailing address

759 Camden Dr
Lavon, TX 75166-1938
Phone (801) 787-3897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815004681 TX Practitioner - Chiropractic 4284172669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synapse Human Performance Centers, Inc.Group PAC ID 0749610681, 5 clinicians

Practice addresses (Care Compare)

3800 Gaylord Pkwy
Suite 795
Frisco, TX 75034-1102
Phone (214) 902-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16058TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Fox Health LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

3800 Gaylord Pkwy
Ste 795
Frisco, TX 75034
Phone (214) 902-3400

Interoperability endpoints

  • Direct secure messaging: brittany.quiros.camacho.1@23964.direct.athenahealth.com

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1457190159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CAMDEN DR",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751661938",
            "telephone_number": "801-787-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 795",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341102",
            "telephone_number": "214-902-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROS CAMACHO",
        "first_name": "BRITTANY",
        "middle_name": "PRISCILLA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "16058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.