Walsh Chirosport PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WALSH CHIROSPORT PLLC

Practice address

301 W Vickery Blvd
Fort Worth, TX 76104-1202

Phone

(817) 404-7384

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Jordan Walsh, DCNPI 1043790918

Title

Owner

Phone

(817) 720-9135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Walsh, DC

  • Chiropractor
  • Fort Worth, TX
  • NPI 1043790918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1417526120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041202",
            "telephone_number": "817-404-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041202",
            "telephone_number": "817-404-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH CHIROSPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-720-9135",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walls Universal Home Health & Hospice Services, Inc.
• Amanda Walls, APRN-FNP
• Kathy Diane Walls, RN, BSN
• Paige Elizabeth Walls, PT, DPT
• Sheena Walraven
• Jordan Walsh, DC
• Ralph Claiborne Walsh Jr., DO
• Walter Dietrich Gracia, M.D., P.a.
• Walter L Adams DC PC
• Bonnie Ahrens Walter, PA-C

• 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 Jun 18, 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.