Individual provider Active NPI

Jeffrey Alan Zwierstra, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1376727198
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10761 Issued in TX
Practice address
5310 N Tarrant Pkwy Ste 132
Fort Worth, TX 76244-7300
Phone
(817) 849-2165
Fax
(817) 849-2208
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10761 TX Primary

Addresses

Primary practice location

5310 N Tarrant Pkwy Ste 132
Fort Worth, TX 76244-7300

Mailing address

5310 N Tarrant Pkwy Ste 132
Fort Worth, TX 76244-7300
Phone (817) 849-2165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000087 TX Practitioner - Chiropractic 6709935117 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5310 N Tarrant Pkwy
Suite 132 Z Chiropractic and Decompression
Fort Worth, TX 76244-7300
Phone (817) 849-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10761TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Clinics of North Texas Inc CurrentSince Apr 9, 2024 Accepting new patients
Backworx Chiropractic and Decompression, PLLC CurrentSince Oct 28, 2022 Accepting new patients

Locations

5310 North Tarrant Pkwy
Ste 132
Fort Worth, TX 76244
Phone (817) 849-2165

6200 Denton Hwy
Watauga, TX 76148
Phone (682) 348-5683

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1376727198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PKWY STE 132",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447300",
            "telephone_number": "817-849-2165",
            "fax_number": "817-849-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PKWY STE 132",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447300",
            "telephone_number": "817-849-2165",
            "fax_number": "817-849-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIERSTRA",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.