Individual provider Active NPI

Roy Gomez, DC

  • Rehabilitation Chiropractor
  • Desoto, TX
National Provider Identifier
1104792795
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
16673 Issued in TX
Practice address
509 N Hampton Rd Ste 100a
Desoto, TX 75115-4970
Phone
(469) 297-6575
Fax
(972) 217-3196
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 16673 TX Primary

Addresses

Primary practice location

509 N Hampton Rd Ste 100a
Desoto, TX 75115-4970

Mailing address

1301 SE 20TH St
Mineral Wells, TX 76067-8018
Phone (940) 325-8096

Other practice location 1

3000 Spring Valley Dr
Bedford, TX 76021-4245
Phone (682) 325-4165

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
16673TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Injury Rehab Bedford, PA Rehabilitation PastSince Mar 19, 2023 Accepting new patients
Desoto Injury Rehab LLC Rehabilitation PastSince Oct 21, 2025 Accepting new patients

Organizations & group practices 2

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1104792795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SE 20TH ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678018",
            "telephone_number": "940-325-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N HAMPTON RD STE 100A",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154970",
            "telephone_number": "469-297-6575",
            "fax_number": "972-217-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Spring Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760214245",
            "country_code": "US",
            "telephone_number": "682-325-4165",
            "fax_number": "682-325-4192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "16673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.