Organization Active NPI

Rose Family Chiropractic Wellness Center LLC

  • Chiropractor
  • New Braunfels, TX
National Provider Identifier
1750795712
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12566 Issued in TX
Legal business name
ROSE FAMILY CHIROPRACTIC WELLNESS CENTER LLC
Practice address
395 Landa St
New Braunfels, TX 78130-5407
Phone
(830) 629-3101
Fax
(830) 626-8245
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Korey Allen Rose, D.C.NPI 1033523139
Title
President
Phone
(830) 237-7655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12566 TX Primary

Addresses

Primary practice location

395 Landa St
New Braunfels, TX 78130-5407

Mailing address

395 Landa St
New Braunfels, TX 78130-5407
Phone (830) 629-3101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141124000565 TX Part B Supplier - Clinic/Group Practice 6901128248 Receives reassigned benefits from 2 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

368 N Union Ave
New Braunfels, TX 78130
Phone (830) 625-6770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1750795712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305407",
            "telephone_number": "830-629-3101",
            "fax_number": "830-626-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305407",
            "telephone_number": "830-629-3101",
            "fax_number": "830-626-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE FAMILY CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KOREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-237-7655",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.