Individual provider Active NPI

Jessica Geis, DC

  • Chiropractor
  • Burleson, TX
National Provider Identifier
1871169409
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
161641 Issued in TX
Practice address
1169 N Burleson Blvd Ste 103
Burleson, TX 76028-7011
Phone
(682) 628-8440
NPI assigned
Jun 3, 2021
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 161641 TX Primary

Addresses

Primary practice location

1169 N Burleson Blvd Ste 103
Burleson, TX 76028-7011

Mailing address

1633 Greenridge Dr Apt 7204
Burleson, TX 76028-2984
Phone (940) 636-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509000804 TX Practitioner - Chiropractic 0648611525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker UniversityGroup PAC ID 7810945466, 18 clinicians

Practice addresses (Care Compare)

2600 Electronic LN
Dallas, TX 75220-1216
Phone (972) 438-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161641TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker University Chiropractor CurrentSince Apr 2, 2024 Accepting new patients

Locations

2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447

2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932

111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1871169409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 GREENRIDGE DR APT 7204",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282984",
            "telephone_number": "940-636-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 N BURLESON BLVD STE 103",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287011",
            "telephone_number": "682-628-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "JESSICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "161641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.