Individual provider Active NPI

Robert Garrett, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1740236074
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7373 Issued in TX
Practice address
4747 S Hulen St
Suite 101
Ft Worth, TX 76132
Phone
(817) 292-3553
Fax
(817) 292-2575
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7373 TX Primary

Addresses

Primary practice location

4747 S Hulen St
Suite 101
Ft Worth, TX 76132

Mailing address

4747 S Hulen St
Suite 101
Ft Worth, TX 76132
Phone (817) 292-3553

Other identifiers 1

IdentifierTypeStateIssuer
8A7591OtherTXBLUE CROSS/BLUE SHEILD

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

LicenseStateTypeSpecialty
7373TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A Medical Advantage Healthcare Systems Associated Past Accepting new patients
Leah Combs Pittmon DC 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1740236074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 S HULEN ST",
            "address_2": "SUITE 101",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-292-3553",
            "fax_number": "817-292-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 S HULEN ST",
            "address_2": "SUITE 101",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-292-3553",
            "fax_number": "817-292-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "8A7591",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.