Organization Active NPI

Jay a Workman Chiropractic Associates PC

Doing business as Livingston Chiropractic Clinic

  • Sports Physician Chiropractor
  • Livingston, TX
National Provider Identifier
1053481234
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4311 Issued in TX
Legal business name
JAY A WORKMAN CHIROPRACTIC ASSOCIATES PC
Doing business as
Livingston Chiropractic Clinic
Practice address
400 Bypass LN
Suite 103
Livingston, TX 77351-6351
Phone
(936) 327-3140
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Kyle Scott Workman, DC
Title
Owner
Phone
(936) 327-3140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 11759 TX
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 4311 TX Primary

Addresses

Primary practice location

400 Bypass LN
Suite 103
Livingston, TX 77351-6351

Mailing address

400 Bypass LN
Suite 103
Livingston, TX 77351-6351
Phone (936) 327-3140

Other names 1

  • Livingston Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000101 TX Part B Supplier - Clinic/Group Practice 5395744585 Receives reassigned benefits from 2 practitioners
Practice locations: Livingston, TX

National Provider Directory

National Provider Directory

Locations

400 Bypass Ln
Ste 103
Livingston, TX 77352
Phone (936) 327-3140

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1053481234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BYPASS LN",
            "address_2": "SUITE 103",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516351",
            "telephone_number": "936-327-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BYPASS LN",
            "address_2": "SUITE 103",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516351",
            "telephone_number": "936-327-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A WORKMAN CHIROPRACTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-327-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11759",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.