Active NPI
Jason Starr Rehwald, D.C.
- Chiropractor
- Little Elm, TX
National Provider Identifier
1467568022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8853
- Practice address
- 1395 E Eldorado Pkwy Ste 800
Little Elm, TX 75068-5533 - Phone
- (469) 362-0511
- Fax
- (469) 362-0541
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8853 | TX | Primary |
Addresses
Primary practice location
1395 E Eldorado Pkwy Ste 800
Little Elm, TX 75068-5533
Mailing address
1395 E Eldorado Pkwy Ste 800
Little Elm, TX 75068-5533
Phone (469) 362-0511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X7420 | Other | TX | BCBS |
| 609474 | Other | TX | MEDICARE OLD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiley K. Timmons, D.C., P.a. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Brownfield, TX
- NPI 1578837860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611360000000",
"number": "1467568022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 E ELDORADO PKWY STE 800",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685533",
"telephone_number": "469-362-0511",
"fax_number": "469-362-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 E ELDORADO PKWY STE 800",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685533",
"telephone_number": "469-362-0511",
"fax_number": "469-362-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHWALD",
"first_name": "JASON",
"middle_name": "STARR",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2021-01-23",
"certification_date": "2021-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X7420",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OLD PIN",
"identifier": "609474",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.