Momentum Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13046 Issued in TX

Legal business name

MOMENTUM FAMILY CHIROPRACTIC LLC

Practice address

613 Uptown Blvd Ste 106
Cedar Hill, TX 75104-3512

Phone

(469) 454-5100

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Camille TibbitsNPI 1144560731

Title

Owner

Phone

(469) 454-5100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Rebecca Camille Tibbits, D.C.

  • Chiropractor
  • Cedar Hill, TX
  • NPI 1144560731
  Medicare reassignment NPD Authorized official
• Yaxaira Almeida

  • Chiropractor
  • Cedar Hill, TX
  • NPI 1093176034
  Medicare reassignment NPD

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1982065827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 106",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-454-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 106",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-454-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "TIBBITS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-454-5100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13046",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.