DR. ADAM BOHNENBLUST (NPI# 1528505096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528505096 |
| Entity Type | Individual |
| Full Name | DR. ADAM BOHNENBLUST |
| Credential | D.C. |
| Practice Address |
411 N Washington Ave Ste 2200 Dallas TX 75246 |
| Mailing Address |
411 N Washington Ave Ste 2200 Dallas TX 75246-1740 |
| Practice Telephone | 4693340624 |
| Mailing Telephone | 4693340624 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13057 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS | 152730 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4740 W Mockingbird Ln, Suite 100, Dallas, TX 752095208 | 2146131210 | |
| 4015 Main St, Dallas, TX 752261231 | 4693340624 |
| Street Address |
411 N WASHINGTON AVE STE 2200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| 1558784926 | Dental Health Programs, Inc. | Dentist | 3910 Gaston Ave., Suite #175, Dallas, TX 75246 | 2014-01-21 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442480 | Sydni Leigh Mcdonald-hughes | Chiropractor | 1152 N Buckner Blvd Ste 100b, Dallas, TX 75218-3435 | 2020-09-22 |
| 1093332157 | Musa S Hasan | Chiropractor | 9669 N Central Expy Ste 200, Dallas, TX 75231-5054 | 2020-07-06 |
| 1750905683 | James Jakes II | Chiropractor | 155 Parkhouse St # 103, Dallas, TX 75207-7211 | 2020-06-06 |
| 1386267052 | Demetris William Elia | Chiropractor | 7712 Royal Ln Apt C, Dallas, TX 75230-3704 | 2020-05-28 |
| 1093336547 | Michael Martinez | Chiropractor | 3619 Throckmorton St, Dallas, TX 75219-3743 | 2020-05-06 |
| 1588285746 | Sunghyun Kim | Chiropractor | 2000 Royal Ln Ste 105, Dallas, TX 75229-3881 | 2020-04-29 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1689205635 | Dallas Federal Physical Therapy and Rehabilitation LLC | Chiropractor | 8204 Elmbrook Dr Ste 175, Dallas, TX 75247-7212 | 2020-01-29 |
| 1669018560 | Light Matters, LLC | Chiropractor | 4400 W University Blvd Apt 17206, Dallas, TX 75209-3702 | 2019-11-26 |
| 1063055721 | Dallas Chiropractic & Injury Center Inc | Chiropractor | 2351 W Northwest Hwy Ste 3105, Dallas, TX 75220-4453 | 2019-10-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.