Individual provider Active NPI

Steven M Thomas, D.C.

  • Chiropractor
  • Stephenville, TX
National Provider Identifier
1073513073
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4707 Issued in TX
Practice address
2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645
Phone
(254) 968-4600
Fax
(254) 968-5121
NPI assigned
Aug 1, 2005
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4707 TX Primary

Addresses

Primary practice location

2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645

Mailing address

2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645
Phone (254) 968-4600

Other identifiers 5

IdentifierTypeStateIssuer
2232984OtherTXAETNA HMO
7636850002OtherTXCIGNA
109630703OtherTXTMHP
83M191OtherTXBCBS
5286154OtherTXAETNA PPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000107 TX Practitioner - Chiropractic 3678671328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2551 NW Loop B
Stephenville, TX 76401-1645
Phone (254) 968-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4707TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Spinal Decompression Center P. C. Chiropractor CurrentSince Nov 1, 2006 Accepting new patients
Lake Granbury Chiropractic Ctr. Chiropractor Past Accepting new patients
Lake Granbury Chiropractic Center Chiropractor PastSince Dec 3, 1991 Accepting new patients

Locations

2551 NW Loop
Ste B
Stephenville, TX 76401
Phone (254) 968-4600

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1073513073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NORTHWEST LOOP",
            "address_2": "SUITE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011645",
            "telephone_number": "254-968-4600",
            "fax_number": "254-968-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 NORTHWEST LOOP",
            "address_2": "SUITE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011645",
            "telephone_number": "254-968-4600",
            "fax_number": "254-968-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2232984",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7636850002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP",
            "identifier": "109630703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83M191",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5286154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.