MICAH BONOLA (NPI# 1770025934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770025934 |
| Entity Type | Individual |
| Full Name | MICAH BONOLA |
| Credential | DC |
| Practice Address |
1300 W. Rosedale St, Ste. A Fort Worth TX 76104 |
| Mailing Address |
1800 Barrington Dr Roanoke TX 76262 |
| Practice Telephone | 8173774011 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13249 | TX | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CHR.0007242 | CO | Chiropractic Providers |
| Street Address |
1300 W. ROSEDALE ST, STE. A |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| 1336509934 | Amber Katers | Speech-Language Pathologist | 1000 Saint Louis, Suite 102, Fort Worth, TX 76104 | 2016-02-25 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 1790393783 | Heather Rodriguez | Chiropractor | 6300 Ridglea Pl Ste 128, Fort Worth, TX 76116-5704 | 2020-07-16 |
| 1386265114 | Common Sense Health Solution LLC | Chiropractor | 11751 Alta Vista Rd Ste 203, Fort Worth, TX 76244-6442 | 2020-05-04 |
| 1831724533 | Colby King | Chiropractor | 9453 N Beach St, Fort Worth, TX 76244-9059 | 2020-03-03 |
| 1174157309 | Morton Medical Management, Pllc | Chiropractor | 7909 Gardengate Ln, Fort Worth, TX 76137-1071 | 2020-02-26 |
| 1164055141 | Fort Worth Chiropractic Clinic Pllc | Chiropractor | 2920 Oak Park Cir Ste 101, Fort Worth, TX 76109-1853 | 2020-02-18 |
| 1659902708 | Jordan Alan Tittle | Chiropractor | 2901 Acme Brick Plz Ste 201, Fort Worth, TX 76109-4124 | 2020-01-28 |
| 1518504141 | Rachel Spicer | Chiropractor | 4825 Overton Ridge Blvd Ste 316, Fort Worth, TX 76132-1425 | 2019-12-02 |
| 1942850086 | Aurora Marie Averill | Chiropractor | 2317 N Tarrant Pkwy Ste 451, Fort Worth, TX 76177-2214 | 2019-09-19 |
| 1972153641 | Levi Dean Skog | Chiropractor | 10761 Founders Way, Fort Worth, TX 76177-1574 | 2019-09-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MICAH BONOLA.
| 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.