Individual provider Active NPI

Alexis Espinosa, DC

  • Chiropractor
  • Roanoke, TX
National Provider Identifier
1073187654
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14756 Issued in TX
Practice address
509 E Byron Nelson Blvd Ste a
Roanoke, TX 76262-6183
Phone
(817) 490-6200
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14756 TX Primary

Addresses

Primary practice location

509 E Byron Nelson Blvd Ste a
Roanoke, TX 76262-6183

Mailing address

1515 Cannon Pkwy Apt 1921
Roanoke, TX 76262-6481

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

LicenseStateTypeSpecialty
14756TXMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Chiropractic and Rehab Inc Chiropractor CurrentSince May 25, 2021 Accepting new patients

Locations

509 E Byron Nelson Blvd
Ste A
Roanoke, TX 76262
Phone (817) 430-8459

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1073187654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CANNON PKWY APT 1921",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E BYRON NELSON BLVD STE A",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626183",
            "telephone_number": "817-490-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.