Organization Active NPI

Rodney P Wirth,DC PA

  • Clinic/Center
  • Arlington, TX
National Provider Identifier
1790245025
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RODNEY P WIRTH,DC PA
Doing business as
STANCE CHIROPRACTIC
Practice address
2401 Avenue J Ste 210
Arlington, TX 76006-6118
Phone
(972) 262-7373
NPI assigned
Mar 22, 2019
Organization subpart
Yes
Parent organization
RODNEY P WIRTH,DC PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Kristina Wykle
Title
Billing Manager
Phone
(352) 708-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2401 Avenue J Ste 210
Arlington, TX 76006-6118

Mailing address

2401 Avenue J Ste 210
Arlington, TX 76006-6118

Other identifiers 1

IdentifierTypeStateIssuer
8086OtherTXSTATE LICENSE

Other names 1

  • STANCE CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190628000858 TX Part B Supplier - Clinic/Group Practice 5395079016 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory
Part of
Rodney P Wirth DC PA

Locations

2401 Avenue J
Ste 210
Arlington, TX 76006
Phone (972) 262-7372

Practitioners & affiliated clinicians

Practitioners 1

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": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1790245025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 AVENUE J STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 AVENUE J STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066118",
            "telephone_number": "972-262-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY P WIRTH,DC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RODNEY P WIRTH,DC PA",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "WYKLE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "352-708-3454"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANCE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STANCE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2019; 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.