Elise Maria LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13150 Issued in TX

Legal business name

ELISE MARIA LLC

Practice address

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

Phone

(817) 962-0182

Fax

(817) 962-0128

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elise Maria Hernandez, D.C.NPI 1811357841

Title

Owner

Phone

(817) 962-0182

Specialties & licenses 1

Addresses

Other names 1

• Vitality Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elise Maria Hernandez, D.C.

  • Chiropractor
  • Arlington, TX
  • NPI 1811357841
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1811358690",
    "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": {
        "organization_name": "ELISE MARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-962-0182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.