Active NPI
Duvelsa Dunn, D.C
- Chiropractor
- Madison, MS
National Provider Identifier
1659771830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1296
- Practice address
- 986 Madison Ave Ste 1a
Madison, MS 39110-9452 - Phone
- (214) 329-8322
- NPI assigned
- Aug 26, 2014
- Last updated
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12518 | TX | |
| Chiropractor | 111N00000X | 1296 | MS | Primary |
Addresses
Primary practice location
986 Madison Ave Ste 1a
Madison, MS 39110-9452
Mailing address
986 Madison Ave Ste 1a
Madison, MS 39110-9452
Phone (214) 329-8322
Other practice location 1
1335 E Whitestone Blvd
Cedar Park, TX 78613-7598
Phone (214) 329-8322
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12518 | TX | MD | General Practice Dentistry |
| 1296 | MS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livfree Chiropractic Holistic Wellness LLC | Chiropractor | Current | Accepting new patients |
| Highway2Health Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
986 Madison Ave
Ste 1A
Madison, MS 39110
Phone (214) 329-8322
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Madison, MS
- NPI 1124676093
-
- Chiropractor
- Jackson, MS
- NPI 1053588830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1659771830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "986 MADISON AVE STE 1A",
"city": "MADISON",
"state": "MS",
"postal_code": "391109452",
"telephone_number": "214-329-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 MADISON AVE STE 1A",
"city": "MADISON",
"state": "MS",
"postal_code": "391109452",
"telephone_number": "214-329-8322"
}
],
"practiceLocations": [
{
"address_1": "1335 E Whitestone Blvd",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786137598",
"country_code": "US",
"telephone_number": "214-329-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "DUVELSA",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12518",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.