Individual provider Active NPI

Rebecca Camille Tibbits, D.C.

  • Chiropractor
  • Cedar Hill, TX
National Provider Identifier
1144560731
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11783 Issued in TX
Practice address
613 Uptown Blvd Ste 106
Cedar Hill, TX 75104-3512
Phone
(469) 454-5100
NPI assigned
Feb 19, 2013
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11783 TX Primary

Addresses

Primary practice location

613 Uptown Blvd Ste 106
Cedar Hill, TX 75104-3512

Mailing address

613 Uptown Blvd Ste 106
Cedar Hill, TX 75104-3512
Phone (469) 454-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000672 TX Practitioner - Chiropractic 7911298708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

613 Uptown Blvd
Suite 106
Cedar Hill, TX 75104-3512
Phone (469) 454-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11783TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Family Chiropractic LLC Chiropractor CurrentSince Jul 10, 2015 Accepting new patients

Locations

613 Uptown Blvd
Ste 106
Cedar Hill, TX 75104
Phone (469) 454-5100

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, 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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1144560731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 106",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-454-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 106",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-454-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBITS",
        "first_name": "REBECCA",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.