Organization Active NPI

Revyv Me, LLC

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1518328145
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REVYV ME, LLC
Practice address
4740 State Highway 121
Suite 200
Lewisville, TX 75056-2912
Phone
(214) 618-9502
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Joyce Bertulfo
Title
Managing Member
Phone
(972) 971-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4740 State Highway 121
Suite 200
Lewisville, TX 75056-2912

Mailing address

2540 King Arthur Blvd
Suite 206
Lewisville, TX 75056-5512

National Provider Directory

National Provider Directory
Tax ID family
Revyv Me LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4740 State Highway 121
Ste 200
Lewisville, TX 75056
Phone (214) 618-9502

2540 King Arthur Blvd
Ste 206
Lewisville, TX 75056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1518328145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 KING ARTHUR BLVD",
            "address_2": "SUITE 206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 STATE HIGHWAY 121",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750562912",
            "telephone_number": "214-618-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVYV ME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "BERTULFO",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-971-8615"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.