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CUSTOM RUIZ LLC
NPI 1528869070
Chiropractor in Fairview, TX

Active since March 21, 2025
117 WHISTLESTOP WAY, FAIRVIEW, TX 75069(469) 210-5402 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2025, Mar 25, 2025, Mar 21, 2025 (3 updates tracked since 2025).

About Custom Ruiz Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM RUIZ LLC (NPI 1528869070), doing business as Custom Chiropractic, is a healthcare organization registered as a chiropractor in Fairview, Texas and active in the NPI registry since March 2025. The organization lists Jenny Marie Garner, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1528869070
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCUSTOM RUIZ LLC
Location Address117 WHISTLESTOP WAYFairview, TX 75069-1827
Mailing Address117 Whistlestop WayFairview, TX 75069-1827 · (469) 210-5402
Phone(469) 210-5402
Organization SubpartNo
Authorized OfficialJenny Marie GarnerChiropractor · (972) 415-2082
Enumeration DateMarch 21, 2025
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1528869070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
117 WHISTLESTOP WAY, Fairview, TX 75069
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Other Names 2

Doing Business AsCustom Chiropractic
Former Legal Business Name100 Chiro Ruiz Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Custom Ruiz Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Custom Ruiz LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jenny Garner
Chiropractic
NPI 1699471235
117 WHISTLESTOP WAY
Fairview, TX 75069
(469) 210-5402
Same address
Taylor-Marie Brown, DC
Chiropractic
NPI 1699536375
4210 RIDGE RD STE 102
Heath, TX 75032
(972) 722-0054
21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Ruiz LLC's NPI number?

The NPI number for Custom Ruiz LLC is 1528869070. It was assigned to this organization in the NPPES registry on March 21, 2025. The provider is doing business as Custom Chiropractic. The provider was formerly known as 100 Chiro Ruiz LLC.

Where is Custom Ruiz LLC located?

Custom Ruiz LLC is located at 117 Whistlestop Way, Fairview, TX 75069. The listed phone number is (469) 210-5402.

What is Custom Ruiz LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Custom Ruiz LLC enrolled in Medicare?

Yes. Custom Ruiz LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Custom Ruiz LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Custom Ruiz LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Custom Ruiz LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Custom Ruiz LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Custom Ruiz LLC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.