Individual provider Active NPI

Roland Njumentoko

  • Chiropractor
  • Grand Prairie, TX
National Provider Identifier
1447018569
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15851 Issued in TX
Practice address
3474 Galaway Bay Dr
Grand Prairie, TX 75052-8014
Phone
(817) 919-6052
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15851 TX Primary

Addresses

Primary practice location

3474 Galaway Bay Dr
Grand Prairie, TX 75052-8014

Mailing address

3474 Galaway Bay Dr
Grand Prairie, TX 75052-8014
Phone (817) 919-6052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001853 TX Practitioner - Chiropractic 6002257011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

1602 W Ave a
Suite B
Temple, TX 76504-4080
Phone (254) 899-2225

900 W Central Texas Expy
Killeen, TX 76541-2566
Phone (254) 634-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15851TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC Current Accepting new patients
Comprehensive Injury Treatment Services PLLC CurrentSince Jun 16, 2025 Accepting new patients
Wellness & Better Health Chiropractic, P.a. Chiropractor CurrentSince Apr 6, 2024 Accepting new patients
Bell District Physical Medicine, PLLC CurrentSince Apr 6, 2024 Accepting new patients
MBS Wellness Chiropractic Center Past Accepting new patients

Locations

930 S Bell Blvd
Ste 103
Cedar Park, TX 78613
Phone (512) 257-2225

1856 Patriot Cir
Copperas Cove, TX 76522
Phone (254) 258-2295

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

539 Town Center Loop
Jarrell, TX 76537

300 W Central Texas Expy
Killeen, TX 76541
Phone (225) 754-2448

900 W Central Texas Expy
Killeen, TX 76541
Phone (254) 634-4010

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

Organizations & group practices 5

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1447018569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 GALAWAY BAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528014",
            "telephone_number": "817-919-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 GALAWAY BAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528014",
            "telephone_number": "817-919-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUMENTOKO",
        "first_name": "ROLAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.