Individual provider Active NPI

Justin Tisdal Freas

  • Chiropractor
  • Justin, TX
National Provider Identifier
1184574642
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16761 Issued in TX
Practice address
1100 Timberbrook Pkwy Ste a
Justin, TX 76247-3000
Phone
(580) 799-2475
NPI assigned
Feb 2, 2026
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16761 TX Primary

Addresses

Primary practice location

1100 Timberbrook Pkwy Ste a
Justin, TX 76247-3000

Mailing address

824 Mountain Aloe Dr
Justin, TX 76247-2396
Phone (580) 799-2475

Other practice location 1

16718 House Hahl Rd Ste B1
Cypress, TX 77433-6852
Phone (346) 818-2468 ext. 32733

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

LicenseStateTypeSpecialty
16761TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1184574642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MOUNTAIN ALOE DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762472396",
            "telephone_number": "580-799-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TIMBERBROOK PKWY STE A",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762473000",
            "telephone_number": "580-799-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16718 House Hahl Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774336852",
            "country_code": "US",
            "telephone_number": "346-818-2468 x32733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREAS",
        "first_name": "JUSTIN",
        "middle_name": "TISDAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.