Individual provider Active NPI

Jacob Christopher Oergel, D.C.

  • Sports Physician Chiropractor
  • Plano, TX
National Provider Identifier
1598898710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10560 Issued in TX
Practice address
7304 Sharps Dr
Plano, TX 75025-3038
Phone
(469) 734-3723
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 10560 TX Primary

Addresses

Primary practice location

7304 Sharps Dr
Plano, TX 75025-3038

Mailing address

7304 Sharps Dr
Plano, TX 75025-3038
Phone (469) 734-3723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209001822 MD Practitioner - Chiropractic 2365746575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

8894 Stanford Blvd
Suite 102
Columbia, MD 21045-5161
Phone (443) 745-5859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10560TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Chiropractic Spine & Sports Rehabilitation. LLC Sports Physician CurrentSince Mar 1, 2016 Accepting new patients
Total Health & Rehab Chiropractic-Physical Therapy-Wellness, LLC Past Accepting new patients

Locations

8894 Stanford Blvd
Ste 102
Columbia, MD 21045
Phone (443) 259-0235

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598898710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 SHARPS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253038",
            "telephone_number": "469-734-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 SHARPS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253038",
            "telephone_number": "469-734-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERGEL",
        "first_name": "JACOB",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.