NPIMap

Organization Active NPI

Core Activated Rehab 3 LLC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1144586785
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE ACTIVATED REHAB 3 LLC
Practice address
2205 Southgate St
Suite a
Arlington, TX 76013-7632
Phone
(972) 220-9956
Fax
(972) 220-9883
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Jason Charles Mareno, D.C
Title
Owner
Phone
(972) 220-9956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2205 Southgate St
Suite a
Arlington, TX 76013-7632

Mailing address

2205 Southgate St
Suite a
Arlington, TX 76013-7632
Phone (972) 220-9956

National Provider Directory

National Provider Directory
Tax ID family
Core Activated Rehab 3 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2205 Southgate St
Ste A
Arlington, TX 76013
Phone (972) 220-9956

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1144586785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SOUTHGATE ST",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137632",
            "telephone_number": "972-220-9956",
            "fax_number": "972-220-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 SOUTHGATE ST",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137632",
            "telephone_number": "972-220-9956",
            "fax_number": "972-220-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ACTIVATED REHAB 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "MARENO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-220-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.