Individual provider Active NPI

Tetsuya Hasegawa, D.C.

  • Chiropractor
  • Rockwall, TX
National Provider Identifier
1477720373
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10874 Issued in TX
Practice address
1221 Arista Road
150
Rockwall, TX 75032
Phone
(214) 797-6560
Fax
(214) 615-6518
NPI assigned
May 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10874 TX Primary

Addresses

Primary practice location

1221 Arista Road
150
Rockwall, TX 75032

Mailing address

1221 Arista Road
150
Rockwall, TX 75032
Phone (214) 797-6560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000803 TX Practitioner - Chiropractic 7618013145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tetsuya Hasegawa, D.C., Inc.Group PAC ID 9032363775, 2 clinicians

Practice addresses (Care Compare)

1221 Arista Dr
Suite 150
Rockwall, TX 75032-6657
Phone (214) 771-0640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10874TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tetsuya Hasegawa, D.C., Inc. Chiropractor CurrentSince Oct 7, 2012 Accepting new patients

Locations

1221 Arista Dr
Ste 150
Rockwall, TX 75032
Phone (214) 771-0640

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.

NPI Registry JSON

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

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1477720373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ARISTA ROAD",
            "address_2": "150",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "214-797-6560",
            "fax_number": "214-615-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ARISTA ROAD",
            "address_2": "150",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "214-797-6560",
            "fax_number": "214-615-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEGAWA",
        "first_name": "TETSUYA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-11",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.