Individual provider Active NPI

Kristyn Archuleta, DC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1508632126
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15941 Issued in TX
Practice address
2021 N Macarthur Blvd # 530
Irving, TX 75061-2219
Phone
(945) 356-2950
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15941 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd # 530
Irving, TX 75061-2219

Mailing address

4005 Vitruvian Way Apt 180
Addison, TX 75001-4183
Phone (575) 415-5338

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
15941TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myocore, LLC Chiropractor CurrentSince Feb 16, 2024 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

7777 Forest Ln
Ste B115
Dallas, TX 75230
Phone (972) 566-2525

6750 N MacArthur Blvd
Ste 305
Irving, TX 75039
Phone (214) 256-4125

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1508632126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 VITRUVIAN WAY APT 180",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014183",
            "telephone_number": "575-415-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD # 530",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "945-356-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "KRISTYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-02-04",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.