Active NPI
Dr Cameron Roe P.L.L.C.
- Chiropractor
- Anna, TX
National Provider Identifier
1578835633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DR CAMERON ROE P.L.L.C.
- Practice address
- 2100 W White St Ste 230
Anna, TX 75409-5516 - Phone
- (972) 924-2286
- Fax
- (972) 924-4688
- NPI assigned
- Feb 6, 2012
- Last updated
- Jul 15, 2024
- 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
- Jackie Tarango
- Title
- Insurance and Billing Coordinator
- Phone
- (972) 924-2286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2100 W White St Ste 230
Anna, TX 75409-5516
Mailing address
2100 W White St Ste 230
Anna, TX 75409-5516
Phone (972) 924-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613063 | Other | TX | MEDICARE PTAN |
Other names 2
- Anna Chiropractic Center
- Anna Disc Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Anna Chiropractic Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2100 W White St
Ste 230
Anna, TX 75409
Phone (972) 924-2286
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Anna, TX
- NPI 1861503963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1578835633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W WHITE ST STE 230",
"city": "ANNA",
"state": "TX",
"postal_code": "754095516",
"telephone_number": "972-924-2286",
"fax_number": "972-924-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W WHITE ST STE 230",
"city": "ANNA",
"state": "TX",
"postal_code": "754095516",
"telephone_number": "972-924-2286",
"fax_number": "972-924-4688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CAMERON ROE P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "TARANGO",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "INSURANCE AND BILLING COORDINATOR",
"authorized_official_telephone_number": "972-924-2286"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "613063",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anna Chiropractic Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Anna Chiropractic Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Anna Disc Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Anna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.