Individual provider Active NPI

Raquel Sauer

  • Chiropractor
  • Justin, TX
National Provider Identifier
1104532159
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15459 Issued in TX
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

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
15459TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica R. Judge DC, LLC Chiropractor CurrentSince Jan 29, 2023 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.

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.

Verify at the official NPI Registry.