Dustin James Rose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11145 Issued in TX

Practice address

4909 Golden Triangle Blvd Ste 221
Fort Worth, TX 76244-4480

Phone

(214) 704-4144

Fax

(817) 367-9216

NPI assigned

Aug 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Neurology, Osteopathic Manipulative Medicine, Pain Management, Physical Medicine and Rehabilitation

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rose Chiropractic & Wellness

  • Chiropractor
  • Fort Worth, TX
  • NPI 1427316025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1407136591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY SUITE 155",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "792444984",
            "telephone_number": "214-704-4144",
            "fax_number": "972-317-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GOLDEN TRIANGLE BLVD STE 221",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444480",
            "telephone_number": "214-704-4144",
            "fax_number": "817-367-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Chiropractic & Wellness
• Rose Imaging Specialists, PA
• Rose Lavilla Counseling, PLLC
• Christina Desousa Rose, M.D., M.P.H.
• Crystal Rene Rose, CNM
• Haylee Rose, RBT
• Jessica Rose, LMSW
• Michael Rose
• Pamela J Rose
• Robert Pierce Rose, DO

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.