Individual provider Active NPI

Justin Kyler Pomeroy, D.C.

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1295986818
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10981 Issued in TX
Practice address
901 N Jupiter Rd Ste 110
Richardson, TX 75081-3164
Phone
(469) 330-2225
Fax
(972) 238-1924
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10981 TX Primary

Addresses

Primary practice location

901 N Jupiter Rd Ste 110
Richardson, TX 75081-3164

Mailing address

1419 Central Ave
Hot Springs, AR 71901-6149
Phone (469) 330-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000096 AR Practitioner - Chiropractic 1557521424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1403 Central Ave
Hot Springs, AR 71901-6149
Phone (501) 625-3446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10981TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Root'S Chiropractic CurrentSince Jan 1, 2012 Accepting new patients
Garland Injury Rehab Past Accepting new patients

Locations

1419 Central Ave
Hot Springs, AR 71901
Phone (501) 623-7732

1403 Central Ave
Hot Springs National Park, AR 71901
Phone (501) 623-2076

Interoperability endpoints

  • Direct secure messaging: kp@rc0027.direct.chirotouch.md

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1295986818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016149",
            "telephone_number": "469-330-2225",
            "fax_number": "972-238-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N JUPITER RD STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813164",
            "telephone_number": "469-330-2225",
            "fax_number": "972-238-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "JUSTIN",
        "middle_name": "KYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.