JOSEAN OMAR JIMENEZ RODRIGUEZ DC
NPI 1790310076
Chiropractor in Round Rock, TX
About Josean Omar Jimenez Rodriguez Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEAN OMAR JIMENEZ RODRIGUEZ DC (NPI 1790310076) is an individual chiropractor in Round Rock, Texas, licensed in Texas (14270) and active in the NPI registry since March 2020. He is a graduate of Sherman College Of Straight Chiropractic (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Josean Omar Jimenez Rodriguez Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Josean Jimenez Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temple, TX 76502
- Reassigned Medicare billing, Texas enrollment
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 Josean Jimenez Rodriguez's NPI number?
The NPI number for Josean Jimenez Rodriguez is 1790310076. It was assigned to this individual provider in the NPPES registry on March 7, 2020.
Where is Josean Jimenez Rodriguez located?
Josean Jimenez Rodriguez practices at 20312 Poppy Hills Trl Unit 4301, Round Rock, TX 78664. The listed phone number is (939) 865-8111.
What is Josean Jimenez Rodriguez's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Josean Jimenez Rodriguez enrolled in Medicare?
Yes. Josean Jimenez Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Josean Jimenez Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Josean Jimenez Rodriguez reassigns Medicare benefits to Specific Clinic Of Chiropractic PLLC (Temple, TX). The 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 Josean Jimenez Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Josean Jimenez Rodriguez was last updated on March 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Josean Omar Jimenez Rodriguez, DC · NPI 1790310076
Chiropractor provider in Round Rock, Texas. Individual provider, active in the CMS NPPES registry since March 7, 2020.
## Identity
- **NPI:** 1790310076 (Entity type: Individual)
- **Enumerated:** March 7, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 14270 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 20312 POPPY HILLS TRL UNIT 4301, Round Rock, TX 78664-6311
- **Phone:** (939) 865-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Specific Clinic Of Chiropractic PLLC (NPI 1396372702, Temple, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sherman College Of Straight Chiropractic, class of 2019
## Record status
- **NPPES last updated:** March 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790310076) · Data from the CMS NPPES public registry.