Individual provider Active NPI

Nader Jamal Awwad, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1699705913
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7108 Issued in TX
Practice address
3810 S Cooper St
Suite 122
Arlington, TX 76015-4149
Phone
(817) 275-9249
Fax
(817) 275-9273
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7108 TX Primary

Addresses

Primary practice location

3810 S Cooper St
Suite 122
Arlington, TX 76015-4149

Mailing address

PO Box 151482
Arlington, TX 76015-7482
Phone (817) 275-9249

Other identifiers 1

IdentifierTypeStateIssuer
606225OtherBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000393 TX Practitioner - Chiropractic 8729049770 Reassigns benefits to 1 organization
Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2216 Southgate St
Suite B
Arlington, TX 76013-7633
Phone (817) 275-9249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7108TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Integrated Wellness Center PLLC Chiropractor CurrentSince Dec 14, 2022 Accepting new patients
Back and Neck Care of Arlington, LLC Chiropractor Past Accepting new patients
Back and Neck Care of Arlington Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

2216 Southgate St
Ste B
Arlington, TX 76013
Phone (817) 275-8800

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1699705913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151482",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760157482",
            "telephone_number": "817-275-9249",
            "fax_number": "817-275-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S COOPER ST",
            "address_2": "SUITE 122",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154149",
            "telephone_number": "817-275-9249",
            "fax_number": "817-275-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWWAD",
        "first_name": "NADER",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "606225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.