Individual provider Active NPI

Elise Maria Hernandez, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1811357841
Registry record updated Mar 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13150 Issued in TX
Practice address
3701 S Cooper St
Unit 185
Arlington, TX 76015-3445
Phone
(817) 962-0182
Fax
(817) 962-0128
NPI assigned
Mar 3, 2016
Last updated
Mar 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11634 FL
Chiropractor 111N00000X 13150 TX Primary

Addresses

Primary practice location

3701 S Cooper St
Unit 185
Arlington, TX 76015-3445

Mailing address

3701 S Cooper St
Unit 185
Arlington, TX 76015-3445
Phone (817) 962-0182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429000301 TX Practitioner - Chiropractic 5698074474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1106 W Pioneer Pkwy
Arlington, TX 76013-7626
Phone (817) 962-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13150TXMDProfessional Counselor
CH11634FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elise Maria LLC Chiropractor CurrentSince Mar 15, 2016 Accepting new patients

Locations

1106 W Pioneer Pkwy
Ste 200
Arlington, TX 76013
Phone (817) 962-0182

3701 S Cooper St
Ste 185
Arlington, TX 76015
Phone (214) 724-6116

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457136000000",
    "number": "1811357841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S COOPER ST",
            "address_2": "UNIT 185",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153445",
            "telephone_number": "817-962-0182",
            "fax_number": "817-962-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S COOPER ST",
            "address_2": "UNIT 185",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153445",
            "telephone_number": "817-962-0182",
            "fax_number": "817-962-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELISE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11634",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13150",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2016; 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.