Individual provider Active NPI

James Fant, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1215634761
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15504 Issued in TX
Practice address
9453 N Beach St
Fort Worth, TX 76244-9059
Phone
(817) 431-5100
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15504 TX Primary

Addresses

Primary practice location

9453 N Beach St
Fort Worth, TX 76244-9059

Mailing address

9453 N Beach St
Fort Worth, TX 76244-9059
Phone (817) 431-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120000802 TX Practitioner - Chiropractic 5193181477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3825 Glade Rd
Suite 130
Colleyville, TX 76034-4812
Phone (817) 372-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15504TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaikoa LLC Chiropractor CurrentSince Feb 19, 2023 Accepting new patients
Heart, World, and Sun LLC Chiropractor CurrentSince Jul 18, 2024 Accepting new patients
Freeform Wellness PLLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

3825 Glade Rd
Ste 130
Colleyville, TX 76034
Phone (817) 372-0937

9453 N Beach St
Fort Worth, TX 76244
Phone (817) 372-0937

Organizations & group practices 3

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1215634761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9453 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-431-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.