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MICAH BONOLA DC
NPI 1770025934
Chiropractor in Fort Worth, TX

Active since November 04, 2016
1300 W. ROSEDALE ST, STE. A, FORT WORTH, TX 76104(817) 377-4011 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2016, Nov 4, 2016 (2 updates tracked since 2016).

About Micah Bonola Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH BONOLA DC (NPI 1770025934) is an individual chiropractor in Fort Worth, Texas, licensed in Texas (13249) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1770025934
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMICAH BONOLACredential: DC
Location Address1300 W. ROSEDALE ST, STE. AFort Worth, TX 76104
Mailing Address1800 Barrington DrRoanoke, TX 76262
Phone(817) 377-4011
Sole ProprietorNo
Enumeration DateNovember 4, 2016
Last NPPES UpdateDecember 12, 20162 updates tracked since enumeration
✔ NPI 1770025934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TX · 13249✔ Licensed in CO · CHR.0007242
Definition
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.
1300 W. ROSEDALE ST, STE. A, Fort Worth, TX 76104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Bonola's NPI number?

The NPI number for Micah Bonola is 1770025934. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Micah Bonola located?

Micah Bonola practices at 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104. The listed phone number is (817) 377-4011.

What is Micah Bonola's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Micah Bonola was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.