Individual provider Active NPI

Robert Brent Deevers, D.C.

  • Chiropractor
  • Trophy Club, TX
National Provider Identifier
1255565271
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11182 Issued in TX
Practice address
625 Parkview Dr Ste 103
Trophy Club, TX 76262-4204
Phone
(682) 831-1951
Fax
(682) 292-2946
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 11182 TX Primary

Addresses

Primary practice location

625 Parkview Dr Ste 103
Trophy Club, TX 76262-4204

Mailing address

625 Parkview Dr Ste 103
Trophy Club, TX 76262-4204
Phone (682) 831-1951

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11182TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
TCR Chiropractic and Wellness, LLC Chiropractor CurrentSince Dec 31, 2023 Accepting new patients
TCR Chiropractic PLLC Chiropractor CurrentSince Dec 31, 2023 Accepting new patients

Locations

625 Parkview Dr
Ste 103
Trophy Club, TX 76262
Phone (682) 831-1951

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1255565271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 103",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624204",
            "telephone_number": "682-831-1951",
            "fax_number": "682-292-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 103",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624204",
            "telephone_number": "682-831-1951",
            "fax_number": "682-292-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEVERS",
        "first_name": "ROBERT",
        "middle_name": "BRENT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2023-12-28",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.