Individual provider Active NPI

John Michael Tate, DC

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1689214256
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14314 Issued in TX
Practice address
3330 Matlock Rd Ste 206
Arlington, TX 76015-2921
Phone
(817) 465-2225
Fax
(817) 719-9342
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14314 TX Primary

Addresses

Primary practice location

3330 Matlock Rd Ste 206
Arlington, TX 76015-2921

Mailing address

2904 Riverplace Dr Apt 1091
Arlington, TX 76006-2145
Phone (817) 320-5106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200131000183 TX Practitioner - Chiropractic 5597191072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 S Main St
Suite 110
Fort Worth, TX 76104-1209
Phone (817) 935-8203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14314TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Fort Worth LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients

Locations

126 S Main St
Ste 110
Fort Worth, TX 76104
Phone (817) 935-8203

Organizations & group practices 1

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1689214256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 RIVERPLACE DR APT 1091",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062145",
            "telephone_number": "817-320-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD STE 206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152921",
            "telephone_number": "817-465-2225",
            "fax_number": "817-719-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.