Individual provider Active NPI

James Wesley Harris, DC

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1164506986
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5967 Issued in TX
Practice address
4217 Fairway Blvd
Wichita Falls, TX 76308-2454
Phone
(940) 696-5150
Fax
(940) 696-0475
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5967 TX Primary

Addresses

Primary practice location

4217 Fairway Blvd
Wichita Falls, TX 76308-2454

Mailing address

4217 Fairway Blvd
Wichita Falls, TX 76308-2454
Phone (940) 696-5150

Other identifiers 7

IdentifierTypeStateIssuer
1682841-01MedicaidTX
8G5330OtherTXBLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
U37023OtherTXUPIN
5967OtherTXTEXAS CHIROPRACTIC LICENSE NUMBER
0006JFOtherTXBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
8237023OtherTXBLUE LINK NUMBER
1902090236OtherTXGROUP NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000462 TX Practitioner - Chiropractic 4880665942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris Chiropractic PAGroup PAC ID 0446319040, 2 clinicians

Practice addresses (Care Compare)

4217 Fairway Blvd
Wichita Falls, TX 76308-2454
Phone (940) 696-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5967TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Chiropractic, P.a. Chiropractor CurrentSince Jul 21, 2008 Accepting new patients

Locations

4217 Fairway Blvd
Wichita Falls, TX 76308
Phone (940) 228-7512

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1164506986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 FAIRWAY BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082454",
            "telephone_number": "940-696-5150",
            "fax_number": "940-696-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 FAIRWAY BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082454",
            "telephone_number": "940-696-5150",
            "fax_number": "940-696-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682841-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER",
            "identifier": "8G5330",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U37023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIROPRACTIC LICENSE NUMBER",
            "identifier": "5967",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER",
            "identifier": "0006JF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK NUMBER",
            "identifier": "8237023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1902090236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.