Active NPI
Jason C. Ulsrud, D.C.
- Chiropractor
- Rockwall, TX
National Provider Identifier
1285664987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8872
- Practice address
- 101 S Fannin St
Suite 114
Rockwall, TX 75087-3775 - Phone
- (972) 265-9508
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8872 | TX | Primary |
Addresses
Primary practice location
101 S Fannin St
Suite 114
Rockwall, TX 75087-3775
Mailing address
101 S Fannin St
Sweet 114
Rockwall, TX 75087-3775
Phone (972) 265-9508
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8872 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Choice Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Dallas, TX
- NPI 1902085012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1285664987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S FANNIN ST",
"address_2": "SWEET 114",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873775",
"telephone_number": "972-265-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FANNIN ST",
"address_2": "SUITE 114",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873775",
"telephone_number": "972-265-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULSRUD",
"first_name": "JASON",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.