Individual provider Active NPI

Yadira Guadalupe Hernandez, DC

  • Chiropractor
  • Roanoke, TX
National Provider Identifier
1952074296
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14762 Issued in TX
Practice address
504 N Oak St Ste 2
Roanoke, TX 76262-5005
Phone
(214) 470-1396
NPI assigned
Jul 30, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14762 TX Primary
Acupuncturist 171100000X 14762 TX

Addresses

Primary practice location

504 N Oak St Ste 2
Roanoke, TX 76262-5005

Mailing address

13343 Dove Ranch Rd
Roanoke, TX 76262-4520
Phone (214) 470-1396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250810000155 TX Practitioner - Chiropractic 3577061423 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

Practice addresses (Care Compare)

504 N Oak St
Suite 2
Roanoke, TX 76262-5005
Phone (214) 470-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14762TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Babies and Bellies Family Chiropractic PLLC Chiropractor CurrentSince Apr 28, 2025 Accepting new patients
Kfcapa Chiropractor PastSince Aug 1, 2021 Accepting new patients

Locations

504 N Oak St
Ste 2
Roanoke, TX 76262
Phone (214) 470-1396

Organizations & group practices 2

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1952074296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13343 DOVE RANCH RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624520",
            "telephone_number": "214-470-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N OAK ST STE 2",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762625005",
            "telephone_number": "214-470-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YADIRA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14762",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "14762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.