Individual provider Active NPI

Justin Phillip Paeltz, DC

  • Chiropractor
  • North Richland Hills, TX
National Provider Identifier
1235562919
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12413 Issued in TX
Practice address
7500 Boulevard 26
North Richland Hills, TX 76180-8318
Phone
(817) 259-1300
Fax
(817) 284-8240
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12413 TX Primary

Addresses

Primary practice location

7500 Boulevard 26
North Richland Hills, TX 76180-8318

Mailing address

7500 Boulevard 26
North Richland Hills, TX 76180-8318
Phone (817) 259-1300

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1235562919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BOULEVARD 26",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808318",
            "telephone_number": "817-259-1300",
            "fax_number": "817-284-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BOULEVARD 26",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808318",
            "telephone_number": "817-259-1300",
            "fax_number": "817-284-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAELTZ",
        "first_name": "JUSTIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.