Individual provider Active NPI

Charles Collin Hilliard, D.C

  • Chiropractor
  • Austin, TX
National Provider Identifier
1003828401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9313 Issued in TX
Practice address
12233 Ranch Road 620 N Ste 107
Austin, TX 78750-1068
Phone
(512) 331-9999
Fax
(512) 219-0177
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9313 TX Primary

Addresses

Primary practice location

12233 Ranch Road 620 N Ste 107
Austin, TX 78750-1068

Mailing address

12233 Ranch Road 620 N Ste 107
Austin, TX 78750-1068
Phone (512) 331-9999

Other identifiers 1

IdentifierTypeStateIssuer
8G2141OtherTXBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000558 TX Practitioner - Chiropractic 7719155621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12233 Ranch Rd 620
Suite 107 Dba Elite Chiro
Austin, TX 78750-1068
Phone (512) 331-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9313TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health of North Austin Chiropractor CurrentSince Mar 7, 2021 Accepting new patients

Locations

12233 Ranch Road 620 N
Ste 107
Austin, TX 78750
Phone (512) 331-9999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003828401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12233 RANCH ROAD 620 N STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501068",
            "telephone_number": "512-331-9999",
            "fax_number": "512-219-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12233 RANCH ROAD 620 N STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501068",
            "telephone_number": "512-331-9999",
            "fax_number": "512-219-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "CHARLES",
        "middle_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8G2141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.