Justin S Carmichael, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12027 Issued in TX

Practice address

104 Grapevine Hwy
#400
Hurst, TX 76054

Phone

(817) 485-2400

Fax

(817) 485-2475

NPI assigned

Oct 19, 2010

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SRB Wellness Inc.Group PAC ID 8820259112, 2 clinicians

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.

• SRB Wellness Inc

  dba Alliance Chiropractic and Massage

  • Chiropractor
  • Watauga, TX
  • NPI 1639449812
  Medicare reassignment Care Compare group NPD
• Back in Motion Family Chiropractic

  dba Michael Ganschow

  • Chiropractor
  • Hurst, TX
  • NPI 1114316874
  NPD (past)
• Back in Motion Integrated Medicine PLLC

  dba Back in Motion Integrated Medicine

  • General Practice Physician
  • Hurst, TX
  • NPI 1194357293
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1801106240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GRAPEVINE HWY",
            "address_2": "#400",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76054",
            "telephone_number": "817-485-2400",
            "fax_number": "817-485-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GRAPEVINE HWY",
            "address_2": "#400",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76054",
            "telephone_number": "817-485-2400",
            "fax_number": "817-485-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "JUSTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002415",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canvas Clinic Management, LLC
• Cardinal Community Care, Inc. (Cardinal Home Health Care)
• Cardinal Medical Services, Inc. (Nurse Practitoner Housecalls)
• Cardinal Rehab Services, Inc.
• Kayla Bius Carman, COTA/L
• Nicole Carrano
• Hannah Carrigan, CPM, LM
• Michael Caruso, ED. D.
• Sarah Irene Casburn, OTR/L, MOT
• Sarah Cash, M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.