Organization Active NPI

Chiropractic Specialist of Weatherford & Associates

  • Chiropractor
  • Weatherford, TX
National Provider Identifier
1407028715
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9476 Issued in TX
Legal business name
CHIROPRACTIC SPECIALIST OF WEATHERFORD & ASSOCIATES
Doing business as
Roberts Chiropractic
Practice address
1512 Santa Fe Dr Ste 103
Weatherford, TX 76086-5860
Phone
(817) 594-3434
Fax
(817) 594-7676
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Jason Warrah Roberts, D.C.NPI 1386734630
Title
Owner
Phone
(817) 594-3434

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 9476 TX Primary

Addresses

Primary practice location

1512 Santa Fe Dr Ste 103
Weatherford, TX 76086-5860

Mailing address

1512 Santa Fe Dr Ste 103
Weatherford, TX 76086-5860
Phone (817) 594-3434

Other names 1

  • Roberts Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170901001889 TX Part B Supplier - Clinic/Group Practice 5496028094 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

1508 Santa Fe Dr
Ste 102
Weatherford, TX 76086
Phone (817) 341-3300

1512 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 594-3434

Practitioners & affiliated clinicians

Practitioners 2

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1407028715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SANTA FE DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865860",
            "telephone_number": "817-594-3434",
            "fax_number": "817-594-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 SANTA FE DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865860",
            "telephone_number": "817-594-3434",
            "fax_number": "817-594-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALIST OF WEATHERFORD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WARRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-594-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberts Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roberts Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.