Organization Active NPI

Nexus Chiropractic LLC

  • Chiropractor
  • Roanoke, TX
National Provider Identifier
1992364749
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEXUS CHIROPRACTIC LLC
Practice address
500 N Highway 377 Ste H
Roanoke, TX 76262-6174
Phone
(682) 268-0140
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Dr. Adam Hansen, DCNPI 1174182927
Title
Owner
Phone
(682) 268-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

500 N Highway 377 Ste H
Roanoke, TX 76262-6174

Mailing address

500 N Highway 377 Ste H
Roanoke, TX 76262-6174
Phone (682) 268-0140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190820002704 TX Part B Supplier - Clinic/Group Practice 5294063962 Receives reassigned benefits from 2 practitioners
Practice locations: Roanoke, TX

National Provider Directory

National Provider Directory

Locations

500 N Highway 377
Ste H
Roanoke, TX 76262
Phone (682) 268-0140

Practitioners & affiliated clinicians

Practitioners 2

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": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1992364749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIGHWAY 377 STE H",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626174",
            "telephone_number": "682-268-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIGHWAY 377 STE H",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626174",
            "telephone_number": "682-268-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-268-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 6, 2019; 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.