Individual provider Active NPI

Kirk A Rexroat, B.S., D.C.

  • Chiropractor
  • Argyle, TX
National Provider Identifier
1073739918
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9425 Issued in TX
Practice address
100 Country Club Rd Ste 107
Argyle, TX 76226-2358
Phone
(940) 464-2273
Fax
(940) 464-2270
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9425 TX Primary

Addresses

Primary practice location

100 Country Club Rd Ste 107
Argyle, TX 76226-2358

Mailing address

100 Country Club Rd Ste 107
Argyle, TX 76226-2358
Phone (940) 464-2273

Other identifiers 1

IdentifierTypeStateIssuer
606440OtherTXBCBSTX PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000162 TX Practitioner - Chiropractic 2769520063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Country Club Rd
Suite 107
Argyle, TX 76226-2358
Phone (940) 464-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
9425TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Argyle Family Chiropractic, PLLC Chiropractor CurrentSince Jun 25, 2009 Accepting new patients

Locations

100 Country Club Rd
Ste 107
Argyle, TX 76226
Phone (940) 464-2273

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073739918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB RD STE 107",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262358",
            "telephone_number": "940-464-2273",
            "fax_number": "940-464-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB RD STE 107",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262358",
            "telephone_number": "940-464-2273",
            "fax_number": "940-464-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROAT",
        "first_name": "KIRK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER #",
            "identifier": "606440",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.