Individual provider Active NPI

Michael Lok-Shun Si, DC

  • Chiropractor
  • Temple, TX
National Provider Identifier
1013524511
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14392 Issued in TX
Practice address
61 N Kegley Rd
Temple, TX 76502-4067
Phone
(254) 899-2225
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14392 TX Primary

Addresses

Primary practice location

61 N Kegley Rd
Temple, TX 76502-4067

Mailing address

1005 Harvest Glen Dr
Plano, TX 75023-6726
Phone (972) 955-7269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208000338 TX Practitioner - Chiropractic 6709298250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Integrated Medical PLLCGroup PAC ID 5193113611, 14 clinicians
Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

101 Cooperative Way
Suite 235
Georgetown, TX 78626-8211
Phone (512) 630-0060

2201 Double Creek Dr
Suite 4001
Round Rock, TX 78664-3843
Phone (512) 630-0060

61 N Kegley Rd
Temple, TX 76502-4067
Phone (254) 899-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14392TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Injury Treatment Services PLLC CurrentSince Oct 12, 2020 Accepting new patients
Georgetown Integrated Medical PLLC Chiropractor CurrentSince Aug 10, 2025 Accepting new patients
MBS Wellness Chiropractic Center PastSince Oct 12, 2020 Accepting new patients

Locations

1856 Patriot Cir
Copperas Cove, TX 76522
Phone (254) 258-2295

4887 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (512) 630-0060

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

539 Town Center Loop
Jarrell, TX 76537

900 W Central Texas Expy
Killeen, TX 76541
Phone (254) 634-4010

300 W Central Texas Expy
Killeen, TX 76541
Phone (225) 754-2448

2201 Double Creek Dr
Ste 4001
Round Rock, TX 78664
Phone (512) 630-0060

1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

Networks

  • TX HMO
  • NM HMO C-SNP
  • TX HMO D-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1013524511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HARVEST GLEN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750236726",
            "telephone_number": "972-955-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N KEGLEY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024067",
            "telephone_number": "254-899-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SI",
        "first_name": "MICHAEL",
        "middle_name": "LOK-SHUN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.