Active NPI
Jason Kimble Wayne, D.C
- Chiropractor
- Frisco, TX
National Provider Identifier
1679600555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10473
- Practice address
- 3550 Parkwood Blvd
Ste. A206
Frisco, TX 75034-1903 - Phone
- (972) 712-7744
- Fax
- (972) 668-7762
- NPI assigned
- Feb 27, 2007
- Last updated
- May 22, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 10473 | TX | Primary |
Addresses
Primary practice location
3550 Parkwood Blvd
Ste. A206
Frisco, TX 75034-1903
Mailing address
3550 Parkwood Blvd
Ste. A206
Frisco, TX 75034-1903
Phone (972) 712-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Victory Group Way
Suite 310
Frisco, TX 75034-6723
Phone (972) 712-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Kaff, P.C. | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1679600555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 PARKWOOD BLVD",
"address_2": "STE. A206",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341903",
"telephone_number": "972-712-7744",
"fax_number": "972-668-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 PARKWOOD BLVD",
"address_2": "STE. A206",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341903",
"telephone_number": "972-712-7744",
"fax_number": "972-668-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "JASON",
"middle_name": "KIMBLE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.