Mary Beth Annas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13726 Issued in TX

Practice address

590 N Kimball Ave Ste 140
Southlake, TX 76092-6888

Phone

(817) 778-9200

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1750842373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926888",
            "telephone_number": "817-778-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926888",
            "telephone_number": "817-778-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAS",
        "first_name": "MARY BETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "team@primechirotx.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "590 N Kimball Ave Ste 140",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760926888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelique Jade Angel
• Briana Makala Angel
• Angela G Bowers, MD PA
• Angelica Frank DDS PLLC (dba Southlake Family Dental Care)
• Aliya Moyosore Animashau
• Toni Antley
• Steven Michael Appelhof, CRNA
• Jessica Ann Applegate, LCSW, LCDC
• Applied Therapeutic Sciences, Inc.
• Ar Psychological Services PLLC

• Chiropractor in Southlake, TX
• Providers in Southlake, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.