Log Cabin 5 LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LOG CABIN 5 LLC

Doing business as

Freeform McKinney

Practice address

7701 Stacy Rd Ste 800
McKinney, TX 75070-1258

Phone

(760) 695-2878

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Roman Christopher Rogers, DCNPI 1114658762

Title

Chiropractor

Phone

(760) 695-2878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freeform McKinney Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roman C Rogers, DC

  • Chiropractor
  • Fort Worth, TX
  • NPI 1114658762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1043091242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 STACY RD STE 800",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 STACY RD STE 800",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701258",
            "telephone_number": "760-695-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOG CABIN 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "760-695-2878",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1114658762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeform McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Llamas, CSFA
• Matthew Lloyd, DMD
• Ardis Lo
• Clara Lucia Lobo, N.P.
• William E Loftin, RNFA
• Mackenzie Logan
• Andrea Marie Loker, CTRS
• Nematullah Lokhandwala
• Lone Star Health Help LLC
• Lone Star Home Visits MHT LLC

• Chiropractor in McKinney, TX
• Providers in McKinney, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.