Active NPI
Mark Richard Hembree, D.C.
- Chiropractor
- Tyler, TX
National Provider Identifier
1003887548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2859
- Practice address
- 2004 W Grande Blvd
Tyler, TX 75703-0537 - Phone
- (903) 561-0086
- Fax
- (903) 561-2576
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2859 | TX | Primary |
Addresses
Primary practice location
2004 W Grande Blvd
Tyler, TX 75703-0537
Mailing address
2004 W Grande Blvd
Tyler, TX 75703-0537
Phone (903) 561-0086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001161102 | Medicaid | TX | |
| 8R6370 | Other | TX | BCBS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040707000162 | TX | Practitioner - Chiropractic | 9133106214 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hembree Chiropractic PA
Practice addresses (Care Compare)
2004 W Grande Blvd
Tyler, TX 75703-0537
Phone (903) 561-0086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2859 | TX | MD | Marriage & Family Therapist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hembree Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Cody a Carter DC | Chiropractor | Past | Accepting new patients |
Locations
1904 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-0086
2004 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-0086
212 Grande Blvd
Ste B220
Tyler, TX 75703
Phone (903) 561-0086
Networks
- NM HMO C-SNP
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.
-
- Chiropractor
- Tyler, TX
- NPI 1003876830
-
- Chiropractor
- Tyler, TX
- NPI 1881898724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1003887548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 W GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757030537",
"telephone_number": "903-561-0086",
"fax_number": "903-561-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 W GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757030537",
"telephone_number": "903-561-0086",
"fax_number": "903-561-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMBREE",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001161102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8R6370",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.