Individual provider Active NPI

Dennis James Jr., D.C.

  • Chiropractor
  • Keller, TX
National Provider Identifier
1982687166
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9852 Issued in TX
Practice address
1135 Keller Pkwy
Suite 200
Keller, TX 76248-3614
Phone
(817) 337-3636
Fax
(817) 337-3635
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9852 TX Primary

Addresses

Primary practice location

1135 Keller Pkwy
Suite 200
Keller, TX 76248-3614

Mailing address

1135 Keller Pkwy
Suite 200
Keller, TX 76248-3614
Phone (817) 337-3636

Other identifiers 2

IdentifierTypeStateIssuer
8R6400OtherTXBC/BS
1163499OtherTXCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000429 TX Practitioner - Chiropractic 1355309386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1135 Keller Pkwy
Keller, TX 76248-1625
Phone (817) 337-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9852TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Chiropractic Clinic PA Chiropractor CurrentSince Dec 1, 2004 Accepting new patients

Locations

1135 Keller Pkwy
Ste 200
Keller, TX 76248
Phone (817) 337-3636

1834 Keller Pkwy
Ste 300
Keller, TX 76248
Phone (817) 337-3636

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1982687166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 KELLER PKWY",
            "address_2": "SUITE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-337-3636",
            "fax_number": "817-337-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 KELLER PKWY",
            "address_2": "SUITE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-337-3636",
            "fax_number": "817-337-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8R6400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1163499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.