Active NPI
Brett Ednie, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1679233753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14749
- Practice address
- 6211 W Northwest Highway
Suite C-100
Dallas, TX 75225 - Phone
- (972) 996-2420
- Fax
- (469) 941-0634
- NPI assigned
- Dec 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14749 | TX | Primary |
Addresses
Primary practice location
6211 W Northwest Highway
Suite C-100
Dallas, TX 75225
Mailing address
6211 W Northwest Highway
Suite C-100
Dallas, TX 75225
Phone (972) 996-2420
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14749 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1679233753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 W NORTHWEST HIGHWAY",
"address_2": "SUITE C-100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "972-996-2420",
"fax_number": "469-941-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 W NORTHWEST HIGHWAY",
"address_2": "SUITE C-100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75225",
"telephone_number": "972-996-2420",
"fax_number": "469-941-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDNIE",
"first_name": "BRETT",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-30",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Jordan Michael Edmondson, LPC
- Lindsey Edmondson, MSN, APRN, AGACNP-BC
- Robert E Edmonson, MD
- Lida Lacy Edmundson, MD
- Philip Marshall Edmundson, M.D.
- Eds-I Practices of California a Medical Corporation
- Eds-I Practices of Texas PA
- Edson H Cheung MD PA
- Bruce Edstrom, L.P.C., L.M.F.T.
- Educare Community Living Corporation - Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.