Active NPI
Jason Brian Manin, D.C.
- Chiropractor
- Pineville, LA
National Provider Identifier
1205018686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10772
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (318) 473-0010
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 10772 | TX | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
4124 Cadena Rd
Denton, TX 76210-4625
Phone (940) 222-6264
Other practice location 1
4401 N I 35 Unit 103
Denton, TX 76207-3433
Phone (940) 222-6264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000360 | TX | Practitioner - Chiropractic | 9032289343 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10772 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromed & Wellness | Chiropractor | Current | Accepting new patients |
Locations
4401 N I 35
Unit 103
Denton, TX 76207
Phone (940) 222-6264
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1205018686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 CADENA RD",
"city": "DENTON",
"state": "TX",
"postal_code": "762104625",
"telephone_number": "940-222-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-473-0010"
}
],
"practiceLocations": [
{
"address_1": "4401 N I 35 Unit 103",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762073433",
"country_code": "US",
"telephone_number": "940-222-6264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANIN",
"first_name": "JASON",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.