Individual provider Active NPI

Wendy Ann Devries, D.C.

  • Chiropractor
  • Kyle, TX
National Provider Identifier
1508923608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9607 Issued in TX
Practice address
187A Kirkham Circle
Kyle, TX 78640-8941
Phone
(512) 405-0400
Fax
(512) 405-0403
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9607 TX Primary

Addresses

Primary practice location

187A Kirkham Circle
Kyle, TX 78640-8941

Mailing address

187A Kirkham Circle
Kyle, TX 78640-8941
Phone (512) 405-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519002017 IA Practitioner - ChiropracticPractitioner - Radiation Oncology 4486616711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Devries Family Chiropractic PCGroup PAC ID 4587896329, 2 clinicians

Practice addresses (Care Compare)

421 Main St
Mapleton, IA 51034-1212
Phone (712) 880-1361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9607TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan M Browning Company Chiropractor PastSince Oct 29, 2013 Accepting new patients
Health Source Inc Chiropractor PastSince Jul 1, 2021 Accepting new patients
Devries Family Chiropractic, P.a. Chiropractor PastSince Oct 29, 2004 Accepting new patients

Organizations & group practices 4

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508923608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187A KIRKHAM CIRCLE",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786408941",
            "telephone_number": "512-405-0400",
            "fax_number": "512-405-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187A KIRKHAM CIRCLE",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786408941",
            "telephone_number": "512-405-0400",
            "fax_number": "512-405-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.