Individual provider Active NPI

Jasmine Rae Acosta

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1346015153
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15798 Issued in TX
Practice address
13617 Inwood Rd Ste 210
Dallas, TX 75244-4629
Phone
(214) 774-9500
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15798 TX Primary

Addresses

Primary practice location

13617 Inwood Rd Ste 210
Dallas, TX 75244-4629

Mailing address

13617 Inwood Rd Ste 210
Dallas, TX 75244-4629
Phone (214) 774-9500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15798TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Chiropractic CurrentSince Nov 26, 2023 Accepting new patients

Locations

13617 Inwood Rd
Ste 210
Dallas, TX 75244
Phone (214) 315-3557

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.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1346015153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 INWOOD RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444629",
            "telephone_number": "214-774-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 INWOOD RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444629",
            "telephone_number": "214-774-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JASMINE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.