Palmercare Chiropractic Fort Worth LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALMERCARE CHIROPRACTIC FORT WORTH LLC

Practice address

126 S Main St Ste 110
Fort Worth, TX 76104-1209

Phone

(817) 935-8203

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Casey Holm

Title

Cfo

Phone

(713) 829-7506

Specialties & licenses 1

Addresses

Other names 1

• Elite Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• John Michael Tate, DC

  • Chiropractor
  • Arlington, TX
  • NPI 1689214256
  Medicare reassignment NPD
• Kevin Arocho-Butko, DC

  • Chiropractor
  • Fort Worth, TX
  • NPI 1316815608
  NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1083340434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "713-829-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041209",
            "telephone_number": "817-935-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Marie Palmer, PTA
• David Palmer, RD, LD
• Evelyn B Palmer, RN
• Ronald Maclean Palmer, AGPCNP-BC
• Tyffani Tynneil Palmer, DDS
• Palo Pinto County Hospital District
• Samantha Jo Adcock Palomares, PA-C
• Morganna Lynn Palomarez, CPNP
• Catherine Palomo, CPNP
• Edward Palos, D.D.S

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.