Individual provider Active NPI

Andrea Nicole Ellis, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1497925408
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10757 Issued in TX
Practice address
13140 Coit Rd Ste 104
Dallas, TX 75240-5747
Phone
(214) 987-9973
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13140 Coit Rd
Suite 104
Dallas, TX 75240-5747
Phone 21498799731

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080906000086 TX Practitioner - Chiropractic 0042386500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10757TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Integrated Healthcare PLLC Chiropractor PastSince Nov 8, 2018 Accepting new patients
American Chiropractic Clinic Chiropractor PastSince May 18, 2017 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10757 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

13140 Coit Rd Ste 104
Dallas, TX 75240-5747

Mailing address

13140 Coit Rd Ste 104
Dallas, TX 75240-5747
Phone (214) 987-9973

Other names 1

NPPES NPI Registry
  • Dr. Andrea Nicole Kuykendall Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2026.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1497925408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405747",
            "telephone_number": "214-987-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405747",
            "telephone_number": "214-987-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KUYKENDALL",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.