Organization Active NPI

Harris Chiropractic, P.a.

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1902090236
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5967 Issued in TX
Legal business name
HARRIS CHIROPRACTIC, P.A.
Practice address
4217 Fairway Blvd
Wichita Falls, TX 76308-2454
Phone
(940) 696-5150
Fax
(940) 696-0475
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
James W Harris, DCNPI 1164506986
Title
President
Phone
(940) 696-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5967 TX Primary

Addresses

Primary practice location

4217 Fairway Blvd
Wichita Falls, TX 76308-2454

Mailing address

4217 Fairway Blvd
Wichita Falls, TX 76308-2454
Phone (940) 696-5150

Other identifiers 17

IdentifierTypeStateIssuer
1164506986OtherJAMES W. HARRIS INDIVIDUAL NPI NUMBER
168284101OtherTXJAMES W. HARRIS, D.C. MEDICAID NUMBER
0006JFOtherTXBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
1750311163OtherTXSHEILA M. CARLEY, D.C. INDIVIDUAL NPI NUMBER
603728OtherTXJAMES W. HARRIS, D.C. MEDICARE PIN
8G5331OtherTXSHEILA M. CARLEY, D.C. BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
U90943OtherSHEILA M. CARLEY, D.C. UPIN
U37023OtherTXJAMES W. HARRIS, D.C. UPIN NUMBER
0076983OtherTXSHEILA M. CARLEY, D.C. BLUE LINK NUMBER
5967OtherTXJAMES W. HARRIS, D.C. CHIROPRACTIC STATE LICENSE NUMBER
609761OtherTXSHEILA M. CARLEY,D.C. MEDICARE UPIN
8237023OtherTXJAMES W. HARRIS, D.C. BLUE LINK NUMBER
9256OtherTXSHEILA M. CARLEY, D.C. CHIROPRACTIC STATE LICENSE NUMBER
176683401OtherTXSHEILA M.CARLEY, D.C. MEDICAID NUMBER
603728OtherTXJAMES W. HARRIS, D.C. MEDICARE UPIN
609761OtherTXSHEILA M. CARLEY, D.C. MEDICARE PIN
8G5330OtherTXJAMES W. HARRIS, D.C. BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000242 TX Part B Supplier - Clinic/Group Practice 0446319040 Receives reassigned benefits from 2 practitioners
Practice locations: Graham, TX; Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

512 2nd St
Ste 2
Graham, TX 76450
Phone (940) 696-5150

709 Oak St
Graham, TX 76450
Phone (817) 549-7011

305 W Main St
Olney, TX 76374
Phone (940) 564-5800

4217 Fairway Blvd
Wichita Falls, TX 76308
Phone (940) 228-7512

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1902090236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 FAIRWAY BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082454",
            "telephone_number": "940-696-5150",
            "fax_number": "940-696-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 FAIRWAY BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082454",
            "telephone_number": "940-696-5150",
            "fax_number": "940-696-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-696-5150",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS INDIVIDUAL NPI NUMBER",
            "identifier": "1164506986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C. MEDICAID NUMBER",
            "identifier": "168284101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER",
            "identifier": "0006JF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C. INDIVIDUAL NPI NUMBER",
            "identifier": "1750311163",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C.  MEDICARE PIN",
            "identifier": "603728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C.  BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER",
            "identifier": "8G5331",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C.  UPIN",
            "identifier": "U90943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C. UPIN NUMBER",
            "identifier": "U37023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C. BLUE LINK NUMBER",
            "identifier": "0076983",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C. CHIROPRACTIC STATE LICENSE NUMBER",
            "identifier": "5967",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY,D.C.   MEDICARE UPIN",
            "identifier": "609761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C.   BLUE LINK NUMBER",
            "identifier": "8237023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C.    CHIROPRACTIC STATE LICENSE NUMBER",
            "identifier": "9256",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M.CARLEY, D.C.    MEDICAID NUMBER",
            "identifier": "176683401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C.   MEDICARE UPIN",
            "identifier": "603728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEILA M. CARLEY, D.C.    MEDICARE PIN",
            "identifier": "609761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES W. HARRIS, D.C.   BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER",
            "identifier": "8G5330",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.