Active NPI
Jeremy Dale Rauhauser, D.C.
- Chiropractor
- Highland Village, TX
National Provider Identifier
1629148796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6591
- Practice address
- 2430 Justin Rd Ste B
Highland Village, TX 75077-3090 - Phone
- (972) 317-3146
- NPI assigned
- Nov 8, 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 | 6591 | TX | Primary |
Addresses
Primary practice location
2430 Justin Rd Ste B
Highland Village, TX 75077-3090
Mailing address
2430 Justin Rd
Suite B
Highland Village, TX 75077-3091
Phone (972) 333-3206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83600X | Other | TX | BLUE CROSS BLUE SHIELD |
| 6591 | Other | TX | LISCENCE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6591 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Massage RX II | Chiropractor | Current | Accepting new patients |
| VRX Medical, PLLC | Current | Accepting new patients | |
| Medical Massage RX | Chiropractor | Current | Accepting new patients |
| Irst Health | Past | Accepting new patients |
Locations
8401 Justin Rd
Ste 108
Double Oak, TX 75077
Phone (972) 317-3146
4235 Preston Rd
Ste 300
Frisco, TX 75034
Phone (972) 317-2612
2430 Justin Rd
Ste B
Lewisville, TX 75077
Phone (972) 317-2612
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Flower Mound, TX
- NPI 1164068821
-
- Chiropractor
- Flower Mound, TX
- NPI 1710369491
-
- Chiropractor
- Frisco, TX
- NPI 1376000794
-
- Family Medicine Physician
- Irving, TX
- NPI 1841586179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1629148796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 JUSTIN RD",
"address_2": "SUITE B",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773091",
"telephone_number": "972-333-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 JUSTIN RD STE B",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773090",
"telephone_number": "972-317-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUHAUSER",
"first_name": "JEREMY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "83600X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENCE #",
"identifier": "6591",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Village, TX
- Preferred Pediatrics Primary Care, PLLC
- Preferred Pediatrics Urgent Care for Kids PLLC
- James Martin Putnam, LMSW
- Shellie Ann Rabner, RN, FNP-C
- Rambling Oaks Courtyard Ecc Highland Village LLC
- William D. Rauhauser Jr., D.C.
- Annette Deanne Ray, PHD, LPC-S
- Resilient Roots Counseling LLC
- Resolves Diagnostics LLC
- Revive Med Partners I LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.