Organization Active NPI

Living Roots Chiropractic, LLC

  • Chiropractor
  • Sulphur Springs, TX
National Provider Identifier
1336963602
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIVING ROOTS CHIROPRACTIC, LLC
Practice address
520 Davis St S
Sulphur Springs, TX 75482-4021
Phone
(903) 439-5440
Fax
(903) 785-7492
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Dr. Robin Boshears, DCNPI 1336593383
Title
Owner/Chiropractor
Phone
(903) 439-5440

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 Primary

Addresses

Primary practice location

520 Davis St S
Sulphur Springs, TX 75482-4021

Mailing address

520 Davis St S
Sulphur Springs, TX 75482-4021
Phone (903) 439-5440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217004157 TX Part B Supplier - Clinic/Group Practice 7113454992 Receives reassigned benefits from 1 practitioner
Practice locations: Sulphur Springs, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1336963602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DAVIS ST S",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824021",
            "telephone_number": "903-439-5440",
            "fax_number": "903-785-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DAVIS ST S",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824021",
            "telephone_number": "903-439-5440",
            "fax_number": "903-785-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ROOTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BOSHEARS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "903-439-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.