Jack Alexander Mustard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9759 Issued in TX

Practice address

3501 Soncy
Suite 2
Amarillo, TX 79121

Phone

(806) 351-2708

Fax

(806) 351-2349

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Palancar Chiropractic

  • Chiropractor
  • Amarillo, TX
  • NPI 1265553549
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083783971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SONCY",
            "address_2": "SUITE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79121",
            "telephone_number": "806-351-2708",
            "fax_number": "806-351-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SONCY",
            "address_2": "SUITE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79121",
            "telephone_number": "806-351-2708",
            "fax_number": "806-351-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD",
        "first_name": "JACK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8D1477",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "608055",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard G Murray, M.D.
• William Isaiah Murray, PT
• Brian Scott Murrell, MD
• Walter John Murrell, M.D.
• Isha Yusuf Musa, COTA/L
• My Next Step, PLLC
• Shirley Myers, NP
• Tomas Trobly Myers, PA
• N.F. McIntyre Counseling Co.
• Shirlene Kay Nagel, RN

• Chiropractor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.