Organization Active NPI

Dr Carl M. Naehritz III D.C. P.C

Doing business as Texas Back Care Accident and Injury Center

  • Chiropractor
  • Bedford, TX
National Provider Identifier
1912263484
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5017 Issued in TX
Legal business name
DR CARL M. NAEHRITZ III D.C. P.C
Doing business as
Texas Back Care Accident and Injury Center
Practice address
2900 Highway 121 Ste 120
Bedford, TX 76021-4033
Phone
(817) 545-1100
Fax
(817) 545-1101
NPI assigned
Apr 9, 2012
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Carl M Naehritz III, D.CNPI 1659489870
Title
Dr/ Owner
Phone
(817) 545-1100

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 5017 TX Primary

Addresses

Primary practice location

2900 Highway 121 Ste 120
Bedford, TX 76021-4033

Mailing address

2900 Highway 121 Ste 120
Bedford, TX 76021-4033
Phone (817) 545-1100

Other identifiers 3

IdentifierTypeStateIssuer
606312OtherTXBCRS
603071OtherPTAN
P001926..OtherTXMEDICARE RAILROAD

Other names 1

  • Texas Back Care Accident and Injury Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000427 TX Part B Supplier - Clinic/Group Practice 2163678392 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

2900 Highway 121
Ste 120
Bedford, TX 76021
Phone (817) 545-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1912263484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HIGHWAY 121 STE 120",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214033",
            "telephone_number": "817-545-1100",
            "fax_number": "817-545-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HIGHWAY 121 STE 120",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214033",
            "telephone_number": "817-545-1100",
            "fax_number": "817-545-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARL M. NAEHRITZ III D.C. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "NAEHRITZ",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR/ OWNER",
        "authorized_official_telephone_number": "817-545-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCRS",
            "identifier": "606312",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "603071",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P001926..",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Back Care Accident and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.