Active NPI
John D Longenecker, D.C.
- Chiropractor
- Irving, TX
National Provider Identifier
1508942798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC5930
- Practice address
- 4950 N. O'Connor Rd.,
Suite 152
Irving, TX 75062-2778 - Phone
- (972) 254-2225
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC5930 | TX | Primary |
Addresses
Primary practice location
4950 N. O'Connor Rd.,
Suite 152
Irving, TX 75062-2778
Mailing address
P.O. Box 140034
Irving, TX 75014-0034
Phone (972) 254-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090602000717 | TX | Practitioner - Chiropractic | 9133279771 | Practice locations: Irving, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4950 N O Connor Rd
Suite 152
Irving, TX 75062-2778
Phone (972) 254-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5930 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1508942798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 140034",
"city": "IRVING",
"state": "TX",
"postal_code": "750140034",
"telephone_number": "972-254-2225",
"fax_number": "972-717-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 N. O'CONNOR RD.,",
"address_2": "SUITE 152",
"city": "IRVING",
"state": "TX",
"postal_code": "750622778",
"telephone_number": "972-254-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGENECKER",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2024-07-25",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC5930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.