Active NPI
Performance Chiropractic and Sports Medicine, PLLC
- Sports Physician Chiropractor
- Temple, TX
National Provider Identifier
1558623967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 10957
- Legal business name
- PERFORMANCE CHIROPRACTIC AND SPORTS MEDICINE, PLLC
- Practice address
- 3411 Market Loop Ste 110
Temple, TX 76502-2771 - Phone
- (254) 773-1121
- Fax
- (254) 773-1185
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Jarosek, D.C.
- Title
- Chiropractor/Owner
- Phone
- (254) 773-1121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 10957 | TX | Primary |
Addresses
Primary practice location
3411 Market Loop Ste 110
Temple, TX 76502-2771
Mailing address
PO Box 505
Temple, TX 76503-0505
Phone (254) 773-1121
Other names 1
- Procter Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Temple, TX
- NPI 1760626956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1558623967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765030505",
"telephone_number": "254-773-1121",
"fax_number": "254-773-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 MARKET LOOP STE 110",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765022771",
"telephone_number": "254-773-1121",
"fax_number": "254-773-1185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE CHIROPRACTIC AND SPORTS MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "JAROSEK",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "254-773-1121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "10957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Procter Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.