Individual provider Active NPI

Jonathan Ozornea, DC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1760213417
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16106 Issued in TX
Practice address
20251 County Road 26
Tyler, TX 75705-6003
Phone
(903) 752-7070
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16106 TX Primary

Addresses

Primary practice location

20251 County Road 26
Tyler, TX 75705-6003

Mailing address

20251 County Road 26
Tyler, TX 75705-6003
Phone (903) 752-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804001521 TX Practitioner - Chiropractic 5890203616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refinery Chiropractic LLCGroup PAC ID 2769721141, 2 clinicians

Practice addresses (Care Compare)

16637 Old Jacksonville Hwy
Suite D
Tyler, TX 75703-7901
Phone (903) 405-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16106TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Refinery Chiropractic LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1760213417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 COUNTY ROAD 26",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757056003",
            "telephone_number": "903-752-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 COUNTY ROAD 26",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757056003",
            "telephone_number": "903-752-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZORNEA",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.