Jarrod Lynn Bagley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10179 Issued in TX

Practice address

3821 Juniper Trce
Ste. 207
Bee Caves, TX 78738-5506

Phone

(512) 263-0040

Fax

(512) 263-0026

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Bagley Chiropractic & Wellness Center P.a.

  • Chiropractor
  • Bee Caves, TX
  • NPI 1558327585

  TX

  Medicare reassignment Authorized official

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1992762686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 FM 2244 RD",
            "address_2": "STE 110",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787385396",
            "telephone_number": "512-263-0040",
            "fax_number": "512-263-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 JUNIPER TRCE",
            "address_2": "STE. 207",
            "city": "BEE CAVES",
            "state": "TX",
            "postal_code": "787385506",
            "telephone_number": "512-263-0040",
            "fax_number": "512-263-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "JARROD",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Louise Adams
• Bagley Chiropractic & Wellness Center P.a.
• Stephanie Montoya Boothe, FNP
• Britney Dann, PA-C
• Andrea Booker Gay, L.M.T.
• Claire Heinlein, AUD
• Hill Country Pediatric Dentistry, PA

• All providers in Bee Caves, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.