Randall Northcutt, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4022 Issued in TX

Legal business name

RANDALL NORTHCUTT, D.C., P.C.

Practice address

1201 N 6TH St
Longview, TX 75601-5539

Phone

(903) 236-3202

Fax

(903) 236-4895

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Roy Randall Northcutt, D.C.NPI 1114933678

Title

Owner/Doctor

Phone

(903) 236-3202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Roy Randall Northcutt

  • Chiropractor
  • Longview, TX
  • NPI 1114933678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1801105994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015539",
            "telephone_number": "903-236-3202",
            "fax_number": "903-236-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015539",
            "telephone_number": "903-236-3202",
            "fax_number": "903-236-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL NORTHCUTT, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "903-236-3202",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1114933678",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine S. Ramey, LPC
• Janee Karis Ramirez, LPC
• Candice Renee Ramos, LCSW
• Jocelan Ramsey, P.N.P.
• Kenneth S Ramsey, NP
• Tammie Randle, CRNA
• Randy L. Morton, M.D., PLLC
• Randy Zhang, L.Ac., PLLC
• Alec Rangel
• April Rangel, H.I.S

• Chiropractor in Longview, TX
• Providers in Longview, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.