Organization Active NPI

Palmercare Chiropractic Mansfield LLC

  • Chiropractor
  • Mansfield, TX
National Provider Identifier
1245820265
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMERCARE CHIROPRACTIC MANSFIELD LLC
Practice address
701 E Debbie LN Ste 113
Mansfield, TX 76063
Phone
(703) 421-2990
Fax
(703) 421-2822
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Casey Holm
Title
Cfo
Phone
(713) 829-7506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

701 E Debbie LN Ste 113
Mansfield, TX 76063

Mailing address

46169 Westlake Dr Ste 300
Sterling, VA 20165-5875
Phone (703) 421-2990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfo@palmercare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230321001810 TX Part B Supplier - Clinic/Group Practice 5799159430 Receives reassigned benefits from 2 practitioners
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

701 E Debbie Ln
Ste 113
Mansfield, TX 76063
Phone (703) 421-2990

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1245820265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46169 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655875",
            "telephone_number": "703-421-2990",
            "fax_number": "703-421-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E DEBBIE LN STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "703-421-2990",
            "fax_number": "703-421-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERCARE CHIROPRACTIC MANSFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-829-7506"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfo@palmercare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "701 E Debbie Ln Ste 113",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 28, 2021; 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.

Verify at the official NPI Registry.