Individual provider Active NPI

Rebecca Bordelon, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1356227425
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16596 Issued in TX
Practice address
6727 Ellsworth Ave
Dallas, TX 75214-2729
Phone
(214) 676-9327
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16596 TX Primary

Addresses

Primary practice location

6727 Ellsworth Ave
Dallas, TX 75214-2729

Mailing address

6727 Ellsworth Ave
Dallas, TX 75214-2729
Phone (214) 676-9327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923001163 TX Practitioner - Chiropractic 2860997830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Medicine of Texas PLLCGroup PAC ID 1254660434, 5 clinicians

Practice addresses (Care Compare)

406 Raymond St
Suite a
Farmersville, TX 75442-2500
Phone (972) 782-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16596TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medicine of Texas, PLLC CurrentSince Sep 10, 2025 Accepting new patients
Mesquite Chiropractic Health Center Chiropractor PastSince Jun 4, 1998 Accepting new patients

Locations

406 Raymond St
#A
Farmersville, TX 75442
Phone (214) 616-3313

1420 N Galloway Ave
Mesquite, TX 75149
Phone (972) 285-6703

1420 N Galloway Ave
Ste B
Mesquite, TX 75149
Phone (972) 285-6703

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1356227425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 ELLSWORTH AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142729",
            "telephone_number": "214-676-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 ELLSWORTH AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142729",
            "telephone_number": "214-676-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "REBECCA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16596",
            "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 Aug 14, 2025; 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.