Individual provider Active NPI

Thomas Matthew Harper, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1316986870
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10377 Issued in TX
Practice address
10625 W Parmer LN
Ste. D-100
Austin, TX 78717-4007
Phone
(512) 341-7335
Fax
(512) 341-2619
NPI assigned
Jun 6, 2006
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7602 AZ
Chiropractor 111N00000X 10377 TX Primary

Addresses

Primary practice location

10625 W Parmer LN
Ste. D-100
Austin, TX 78717-4007

Mailing address

10625 W Parmer LN
Ste. D-100
Austin, TX 78717-4007
Phone (512) 341-7335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000218 TX Practitioner - Chiropractic 6305874587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeclinic Chiropractic of Texas LLCGroup PAC ID 6002121027, 20 clinicians

Practice addresses (Care Compare)

10761 Founders Way
Fort Worth, TX 76177-1574
Phone (469) 540-7158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7602AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Chiropractic of Texas, LLC Chiropractor CurrentSince Jun 7, 2022 Accepting new patients
Synergistic Wellness Solutions LLC Chiropractor Past Accepting new patients
Preferred Chiropractic Eight PC Chiropractor Past Accepting new patients

Locations

10761 Founders Way
Fort Worth, TX 76177
Phone (469) 540-7158

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1316986870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W PARMER LN",
            "address_2": "STE. D-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174007",
            "telephone_number": "512-341-7335",
            "fax_number": "512-341-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 W PARMER LN",
            "address_2": "STE. D-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174007",
            "telephone_number": "512-341-7335",
            "fax_number": "512-341-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7602",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.