Individual provider Active NPI

Luis Raul Ortiz Gomez, DC

  • Chiropractor
  • Garland, TX
National Provider Identifier
1780385773
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15392 Issued in TX
Practice address
1138 Belt Line Rd Ste 135
Garland, TX 75040-1993
Phone
(469) 969-0427
Fax
(469) 969-0425
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 15392 TX Primary

Addresses

Primary practice location

1138 Belt Line Rd Ste 135
Garland, TX 75040-1993

Mailing address

1138 Belt Line Rd Ste 135
Garland, TX 75040-1993
Phone (469) 969-0427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003882 TX Practitioner - Chiropractic 4981049434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1138 Belt Line Rd
Suite 135
Garland, TX 75040-1993
Phone (469) 969-0426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15392TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garland Integrated Healthcare PLLC CurrentSince Mar 19, 2023 Accepting new patients
Affordable Chiropractic, LLC Chiropractor CurrentSince Jan 14, 2024 Accepting new patients

Locations

1138 Belt Line Rd
Ste 135
Garland, TX 75040
Phone (469) 969-0426

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1780385773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 BELT LINE RD STE 135",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401993",
            "telephone_number": "469-969-0427",
            "fax_number": "469-969-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 BELT LINE RD STE 135",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401993",
            "telephone_number": "469-969-0427",
            "fax_number": "469-969-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ GOMEZ",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.