Josean Omar Jimenez Rodriguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14270 Issued in TX

Practice address

20312 Poppy Hills TRL Unit 4301
Round Rock, TX 78664-6311

Phone

(939) 865-8111

NPI assigned

Mar 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specific Clinic of Chiropractic PLLC

  • Chiropractor
  • Temple, TX
  • NPI 1396372702
  Medicare reassignment NPD

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1790310076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20312 POPPY HILLS TRL UNIT 4301",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646311",
            "telephone_number": "939-865-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20312 POPPY HILLS TRL UNIT 4301",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646311",
            "telephone_number": "939-865-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RODRIGUEZ",
        "first_name": "JOSEAN",
        "middle_name": "OMAR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Regina Jessup, RN, FNP-C
• Carson Jett, DDS
• JFRM LLC (Bluebonnet Diagnostic and 3D Imaging Center)
• Jheetey Dental PLLC
• Jing Jiang, M.D
• Angely Jimenez
• Arabella Karyna Jimenez, BCABA
• Candice Jimenez, LPC, LCDC
• Jjbptx, LLC (Home Instead)
• Jo Choudhry Mdpa

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.