Organization Active NPI

Enlighten Chiropractic & Acupuncture

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1932438231
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11215 Issued in TX
Legal business name
ENLIGHTEN CHIROPRACTIC & ACUPUNCTURE
Practice address
2238 Michigan Ave
Ste D
Arlington, TX 76013-5945
Phone
(817) 458-1025
Fax
(888) 848-3798
NPI assigned
Dec 15, 2009
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Vandara Mounarath, D.C.NPI 1558696971
Title
Chiropractor
Phone
(817) 458-1025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11215 TX Primary

Addresses

Primary practice location

2238 Michigan Ave
Ste D
Arlington, TX 76013-5945

Mailing address

15501 Adlong Dr
Roanoke, TX 76262-3315
Phone (817) 458-1025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000553 TX Part B Supplier - Clinic/Group Practice 6103091426 Receives reassigned benefits from 1 practitioner
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

2238 Michigan Ave
Ste D
Dwg, TX 76013
Phone (817) 277-1007

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1932438231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 ADLONG DR",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762623315",
            "telephone_number": "817-458-1025",
            "fax_number": "888-848-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 MICHIGAN AVE",
            "address_2": "STE D",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135945",
            "telephone_number": "817-458-1025",
            "fax_number": "888-848-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN CHIROPRACTIC & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MOUNARATH",
        "authorized_official_first_name": "VANDARA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "817-458-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11215",
            "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 Dec 15, 2009; 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.