Organization Active NPI

Revyv Me LLC

Doing business as Revyve

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1568823920
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F0011572 Issued in TX
Legal business name
REVYV ME LLC
Doing business as
Revyve
Practice address
4740 State Hwy 121 #200
Lewisville, TX 75056
Phone
(972) 975-0162
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Wes Racht
Title
Owner
Phone
(972) 975-0162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F0011572 TX Primary

Addresses

Primary practice location

4740 State Hwy 121 #200
Lewisville, TX 75056

Mailing address

2540 King Arthur Blvd #206
Lewisville, TX 75056

Other names 1

  • Revyve Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1568823920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 KING ARTHUR BLVD #206",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 STATE HWY 121 #200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "972-975-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVYV ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "RACHT",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-975-0162"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F0011572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revyve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 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.