Individual provider Active NPI

Jay Prahlad Bhakta, D.C.

  • Chiropractor
  • Mansfield, TX
National Provider Identifier
1225574155
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13375 Issued in TX
Practice address
221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379
Phone
(817) 453-0430
Fax
(817) 453-0400
NPI assigned
Jan 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13375 TX Primary
Rehabilitation Chiropractor 111NR0400X 13375 TX

Addresses

Primary practice location

221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379

Mailing address

221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379
Phone (817) 453-0430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228001748 TX Practitioner - Chiropractic 4789968249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curis Functional HealthGroup PAC ID 6709207590, 42 clinicians

Practice addresses (Care Compare)

221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379
Phone (817) 453-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13375TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Curis Functional Health Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
First Family Care, PLLC CurrentSince Feb 14, 2017 Accepting new patients

Locations

4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259

221 Regency Pkwy
Ste 101
Mansfield, TX 76063
Phone (817) 453-0430

208 E Highway 114
Ste 300
Roanoke, TX 76262
Phone (682) 831-1591

211 W McLeroy Blvd
Saginaw, TX 76179
Phone (214) 390-3259

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8235/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1225574155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635379",
            "telephone_number": "817-453-0430",
            "fax_number": "817-453-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635379",
            "telephone_number": "817-453-0430",
            "fax_number": "817-453-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "JAY",
        "middle_name": "PRAHLAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13375",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "13375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.