Active NPI
Rachael Durst Kirkland, DC
- Chiropractor
- Longview, TX
National Provider Identifier
1124596929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1839
- Practice address
- 2221 H G Mosley Pkwy
Longview, TX 75604-3670 - Phone
- (903) 309-0574
- NPI assigned
- Nov 9, 2018
- 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 | 1839 | LA | Primary |
Addresses
Primary practice location
2221 H G Mosley Pkwy
Longview, TX 75604-3670
Mailing address
19436 Ridge Point Cir
Lindale, TX 75771-2417
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1839 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastgate Chiropractic Clinic, Inc | Chiropractor | Past | Accepting new patients |
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
- Shreveport, LA
- NPI 1992912380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705190400000",
"number": "1124596929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19436 RIDGE POINT CIR",
"city": "LINDALE",
"state": "TX",
"postal_code": "757712417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 H G MOSLEY PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756043670",
"telephone_number": "903-309-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "RACHAEL",
"middle_name": "DURST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2024-01-14",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.