Active NPI
Roman C Rogers, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1114658762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 160163
- Practice address
- 9453 N Beach St
Fort Worth, TX 76244-9059 - Phone
- (181) 743-1510
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 160163 | TX | Primary |
Addresses
Primary practice location
9453 N Beach St
Fort Worth, TX 76244-9059
Mailing address
9453 N Beach St
Fort Worth, TX 76244-9059
Phone (181) 743-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7701 Stacy Rd
Suite 800
McKinney, TX 75070-1258
Phone (760) 695-2878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160163 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Log Cabin 5 LLC | Chiropractor | Current | Accepting new patients |
| Freeform Wellness PLLC | Current | Accepting new patients |
Locations
9453 N Beach St
Fort Worth, TX 76244
Phone (817) 372-0937
7701 Stacy Rd
Ste 800
McKinney, TX 75070
Phone (760) 695-2878
Organizations & group practices 3
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
- McKinney, TX
- NPI 1043091242
-
- Chiropractor
- Fort Worth, TX
- NPI 1023468485
-
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
- NPI 1689185803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1114658762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9453 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449059",
"telephone_number": "181-743-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9453 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449059",
"telephone_number": "181-743-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ROMAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "160163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.