Active NPI
Brandon Nutt, D.C.
- Neurology Chiropractor
- Dallas, TX
National Provider Identifier
1952728545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 12535
- Practice address
- 6211 W Northwest Hwy Ste C159
Dallas, TX 75225-3452 - Phone
- (469) 855-5137
- NPI assigned
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 12535 | TX | Primary |
| Nutrition Chiropractor | 111NN1001X | 12535 | TX | |
| Sports Physician Chiropractor | 111NS0005X | 12535 | TX |
Addresses
Primary practice location
6211 W Northwest Hwy Ste C159
Dallas, TX 75225-3452
Mailing address
5732 Harvest Hill Rd
Dallas, TX 75230-1253
Phone (469) 855-5137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12535 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1952728545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 HARVEST HILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301253",
"telephone_number": "469-855-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 W NORTHWEST HWY STE C159",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253452",
"telephone_number": "469-855-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTT",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "12535",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "12535",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "12535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.