ROLAND NJUMENTOKO – Chiropractor, NPI 1447018569

ROLAND NJUMENTOKO is a healthcare provider. based in Grand prairie, Texas. specializing in CHIROPRACTIC. They hold a License No. 15851 (TX). The NPI Number for ROLAND NJUMENTOKO is 1447018569

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ROLAND NJUMENTOKO
NPI
1447018569
Phone
(817) 919-6052
Address
3474 GALAWAY BAY DR
Enumeration Date
12 March 2024
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2548992225
Graduation Year
2024 (2 years ago)
PAC ID
6002257011
Group Practice PAC ID
6406086032
Professional Enrollment ID
I20240508001853
Address ID
TX765044080TE1602XAXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for ROLAND NJUMENTOKO

  • 3474 GALAWAY BAY DR

    GRAND PRAIRIE, TX 750528014

    Phone: (817) 919-6052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240508001853IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406086032View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ROLAND NJUMENTOKO?
NPI 1447018569 is assigned to ROLAND NJUMENTOKO under the national enumeration system.
Is ROLAND NJUMENTOKO's NPI currently valid?
The extract we use shows ROLAND NJUMENTOKO as active.
What field does ROLAND NJUMENTOKO work in?
You can think of ROLAND NJUMENTOKO as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place ROLAND NJUMENTOKO?
The snapshot lists Grand Prairie, Texas for ROLAND NJUMENTOKO; download NPPES for the complete set.
How can I contact ROLAND NJUMENTOKO?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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