Individual provider Active NPI

Myron Elwood Curry, CHW

  • Community Health Worker
  • Fort Worth, TX
National Provider Identifier
1689051468
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
2730 Issued in TX
Practice address
3000 Galvez Ave
Fort Worth, TX 76111-3820
Phone
(817) 417-9090
Fax
(844) 855-5208
NPI assigned
Apr 30, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 2730 TX Primary

Addresses

Primary practice location

3000 Galvez Ave
Fort Worth, TX 76111-3820

Mailing address

6220 Summergrove Dr
Arlington, TX 76001-5200
Phone (817) 417-9090

Other practice location 1

5627 Autumn Wheat Trl
Arlington, TX 76017-4217
Phone (817) 417-9090

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

LicenseStateTypeSpecialty
2730TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texaseso Incorporated Community Health Worker Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689051468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 SUMMERGROVE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015200",
            "telephone_number": "817-417-9090",
            "fax_number": "844-855-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GALVEZ AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761113820",
            "telephone_number": "817-417-9090",
            "fax_number": "844-855-5208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5627 Autumn Wheat Trl",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760174217",
            "country_code": "US",
            "telephone_number": "817-417-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURRY",
        "first_name": "MYRON",
        "middle_name": "ELWOOD",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.