Active NPI
Jason A. Degenhardt, D.C.
- Chiropractor
- Harker Heights, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9654
- Practice address
- 560 E Central Texas Expy Ste 102
Harker Heights, TX 76548-5625 - Phone
- (254) 698-1600
- Fax
- (254) 698-1605
- NPI assigned
- Jul 27, 2006
- Last updated
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9654 | TX | Primary |
Addresses
Primary practice location
560 E Central Texas Expy Ste 102
Harker Heights, TX 76548-5625
Mailing address
560 E Central Texas Expy Ste 102
Harker Heights, TX 76548-5625
Phone (254) 698-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M6299 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 E Central Texas Expy
Suite 102
Harker Heights, TX 76548-5625
Phone (254) 698-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9654 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrective Chiropractic P.a. | Chiropractor | Current | Accepting new patients |
| Corrective Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
| Isdale Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
560 E Central Texas Expy
Harker Hts, TX 76548
Phone (254) 698-1600
560 E Central Texas Expy
Ste 102
Harker Hts, TX 76548
Phone (254) 677-6555
716 Indian Trl
Ste 120
Harker Hts, TX 76548
Phone (254) 300-8339
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1801810361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 E CENTRAL TEXAS EXPY STE 102",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765485625",
"telephone_number": "254-698-1600",
"fax_number": "254-698-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 E CENTRAL TEXAS EXPY STE 102",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765485625",
"telephone_number": "254-698-1600",
"fax_number": "254-698-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGENHARDT",
"first_name": "JASON",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M6299",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.