Jason Black, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8277 Issued in TX

Practice address

8150 N Macarthur Blvd Ste 170
Irving, TX 75063-4314

Phone

(972) 409-0016

Fax

(972) 409-0013

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ethos Regenerative Medical Group PLLC

  • Chiropractor
  • Irving, TX
  • NPI 1306016282
  Authorized official Same address or phone

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1225221518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 NORTH MACARTHUR BLVD STE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-409-0016",
            "fax_number": "972-409-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N MACARTHUR BLVD STE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634314",
            "telephone_number": "972-409-0016",
            "fax_number": "972-409-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biostat Imaging
• Stella Birgen
• Josephine S. Birondo
• Noor Amera Bitar, M.S. CCC-SLP
• Alison Adams Black, M.D.
• Blackburn Woolfolk Dermatology, PLLC
• Aleya Renea Blackman, DC
• Margaret C Blackmon, CPNP
• Rodney Mark Blackmore, D.D.S.
• Hannah Elaine Blaeser, MS, SLP CF

• Chiropractor in Irving, TX
• Providers in Irving, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.