Active NPI
Jason Alan Walker, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1992037378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11368
- Practice address
- 105 Boland St
Fort Worth, TX 76107-1221 - Phone
- (817) 332-1234
- Fax
- (817) 332-1473
- NPI assigned
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11368 | TX | Primary |
Addresses
Primary practice location
105 Boland St
Fort Worth, TX 76107-1221
Mailing address
105 Boland St
Fort Worth, TX 76107-1221
Phone (817) 332-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000668 | TX | Practitioner - Chiropractic | 1850422825 | Practice locations: Fort Worth, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 Boland St
Fort Worth, TX 76107-1221
Phone (817) 332-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11368 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1992037378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BOLAND ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071221",
"telephone_number": "817-332-1234",
"fax_number": "817-332-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BOLAND ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071221",
"telephone_number": "817-332-1234",
"fax_number": "817-332-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.