Organization Active NPI

Corrective Chiropractic P.a.

  • Chiropractor
  • Harker Heights, TX
National Provider Identifier
1316240229
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9654 Issued in TX
Legal business name
CORRECTIVE CHIROPRACTIC P.A.
Practice address
560 E Central Texas Expwy
Suite 102
Harker Heights, TX 76548-5606
Phone
(254) 698-1600
Fax
(254) 698-1605
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Dr. Jason Arthur Degenhardt, D.C.NPI 1801810361
Title
President
Phone
(254) 698-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9654 TX Primary

Addresses

Primary practice location

560 E Central Texas Expwy
Suite 102
Harker Heights, TX 76548-5606

Mailing address

560 E Central Texas Expwy
Suite 102
Harker Heights, TX 76548-5606
Phone (254) 698-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000557 TX Part B Supplier - Clinic/Group Practice 6002095502 Receives reassigned benefits from 4 practitioners
Practice locations: Harker Heights, TX

National Provider Directory

National Provider Directory
Tax ID family
Corrective Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

560 E Central Texas Expy
Ste 102
Harker Hts, TX 76548
Phone (254) 677-6555

560 E Central Texas Expy
Harker Hts, TX 76548
Phone (254) 698-1600

Practitioners & affiliated clinicians

Practitioners 5

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1316240229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 E CENTRAL TEXAS EXPWY",
            "address_2": "SUITE 102",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485606",
            "telephone_number": "254-698-1600",
            "fax_number": "254-698-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E CENTRAL TEXAS EXPWY",
            "address_2": "SUITE 102",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485606",
            "telephone_number": "254-698-1600",
            "fax_number": "254-698-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "DEGENHARDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-698-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.