Individual provider Active NPI

Marilyn Yates, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1598213738
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13116 Issued in TX
Practice address
9669 N Central Expy
Suite. 200
Dallas, TX 75231-5053
Phone
(214) 265-9000
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13116 TX Primary

Addresses

Primary practice location

9669 N Central Expy
Suite. 200
Dallas, TX 75231-5053

Mailing address

9669 N Central Expy
Suite. 200
Dallas, TX 75231-5053
Phone (214) 265-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807004331 TX Practitioner - Chiropractic 2466736772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Eldorado Pkwy
Suite 110
Little Elm, TX 75068-5134
Phone (972) 292-9754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13116TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kernetics Wellness Center LLC Chiropractor CurrentSince May 2, 2024 Accepting new patients

Locations

800 W Eldorado Pkwy
Ste 110
Little Elm, TX 75068
Phone (972) 292-0900

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1598213738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY",
            "address_2": "SUITE. 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315053",
            "telephone_number": "214-265-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY",
            "address_2": "SUITE. 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315053",
            "telephone_number": "214-265-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MARILYN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2016; 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.