Active NPI
Raquel Sauer
- Chiropractor
- Justin, TX
National Provider Identifier
1104532159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15459
- Practice address
- 112 W 4TH St
Justin, TX 76247-5014 - Phone
- (940) 648-1700
- Fax
- (940) 648-1776
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15459 | TX | Primary |
Addresses
Primary practice location
112 W 4TH St
Justin, TX 76247-5014
Mailing address
PO Box 77033
Fort Worth, TX 76177-0033
Phone (940) 648-1700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15459 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica R. Judge DC, LLC | Chiropractor | Current | Accepting new patients |
Locations
112 W 4th St
Ste B
Justin, TX 76247
Phone (940) 648-1700
112 W 4th St
Justin, TX 76247
Phone (940) 648-1700
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 and National Provider Directory roles.
-
- Chiropractor
- Justin, TX
- NPI 1871905760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1104532159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 77033",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761770033",
"telephone_number": "940-648-1700",
"fax_number": "940-648-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 4TH ST",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762475014",
"telephone_number": "940-648-1700",
"fax_number": "940-648-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUER",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.