Alysha Amayreh, DC – Chiropractor in Red Oak, TX

Key facts

NPI: 1659901296
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 15354 (TX)
Practice address: 109 E Ovilla Rd
Red Oak, TX 75154-2416
Phone: (972) 617-7700
NPI assigned: Jan 23, 2020
Sex: Female
Sole proprietor: No

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.

Evolve Chiropractic PLLC Chiropractor · St Charles, IL · NPI 1013389014

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
15354	TX	MD	Professional Counselor
038.013512	IL	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Evolve Chiropractic PLLC	Chiropractor	Past since Jan 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	038.013512	IL
Chiropractor	111N00000X	15354	TX	Yes

Addresses

Primary practice location

109 E Ovilla Rd
Red Oak, TX 75154-2416

Mailing address

109 E Ovilla Rd
Red Oak, TX 75154-2416
Phone (972) 617-7700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2023.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1659901296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542416",
            "telephone_number": "972-617-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542416",
            "telephone_number": "972-617-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYREH",
        "first_name": "ALYSHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013512",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

All providers in Red Oak, TX · Chiropractor in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.