Organization Active NPI

Rozacky Chiropractic Inc.

  • Exclusive Provider Organization
  • Rockdale, TX
National Provider Identifier
1992058259
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
11594 Issued in TX
Legal business name
ROZACKY CHIROPRACTIC INC.
Practice address
1512 W Cameron Ave
Rockdale, TX 76567-2607
Phone
(512) 446-5844
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Trent Rozacky, D.C.
Title
Owner
Phone
(512) 446-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 11594 TX Primary

Addresses

Primary practice location

1512 W Cameron Ave
Rockdale, TX 76567-2607

Mailing address

1512 W Cameron Ave
Rockdale, TX 76567-2607

National Provider Directory

National Provider Directory

Locations

1512 W Cameron Ave
Rockdale, TX 76567
Phone (512) 446-5844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1992058259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W CAMERON AVE",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W CAMERON AVE",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672607",
            "telephone_number": "512-446-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZACKY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "ROZACKY",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-446-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "11594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockdale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.