Individual provider Active NPI

Jason Raesz, D.C.

  • Chiropractor
  • Temple, TX
National Provider Identifier
1417232364
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11899 Issued in TX
Practice address
2314 W Adams Ave
Suite a
Temple, TX 76504-3937
Phone
(254) 778-2225
Fax
(254) 778-1600
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11899 TX Primary

Addresses

Primary practice location

2314 W Adams Ave
Suite a
Temple, TX 76504-3937

Mailing address

2314 W Adams Ave
Suite a
Temple, TX 76504-3937
Phone (254) 778-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000219 TX Practitioner - Chiropractic 7810162716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Atlas Healthcare Solutions PAGroup PAC ID 2860556297, 3 clinicians

Practice addresses (Care Compare)

7348 W Adams Ave
Suite 700
Temple, TX 76502-5675
Phone (254) 778-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11899TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Healthcare Solutions PA Chiropractor CurrentSince Oct 6, 2011 Accepting new patients

Locations

2314 W Adams Ave
Ste A
Temple, TX 76504
Phone (254) 778-2225

7348 W Adams Ave
Ste 700
Temple, TX 76502
Phone (254) 778-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1417232364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 W ADAMS AVE",
            "address_2": "SUITE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765043937",
            "telephone_number": "254-778-2225",
            "fax_number": "254-778-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 W ADAMS AVE",
            "address_2": "SUITE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765043937",
            "telephone_number": "254-778-2225",
            "fax_number": "254-778-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAESZ",
        "first_name": "JASON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.