Avery Design Co

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

11329 Issued in TX

Legal business name

AVERY DESIGN CO

Doing business as

New Leaf Health & Wellness

Practice address

4100 McEwen Rd
Ste 130
Dallas, TX 75244-5113

Phone

(972) 836-6090

NPI assigned

Jan 18, 2010

Last updated

Jan 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avery K Carpenter, DCNPI 1760700306

Title

Owner

Phone

(972) 836-6090

Specialties & licenses 1

Addresses

Other names 1

• New Leaf Health & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avery Carpenter, DC

  • Internist Chiropractor
  • Dallas, TX
  • NPI 1760700306
  Authorized official Same address or phone

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1861723678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 WALDORF DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MCEWEN RD",
            "address_2": "STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445113",
            "telephone_number": "972-836-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY DESIGN CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-836-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "11329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internist Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Internist Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.