Organization Active NPI

Hillcrest Chiropractic Clinic, PLLC

  • Chiropractor
  • Waco, TX
National Provider Identifier
1104106335
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9664 Issued in TX
Legal business name
HILLCREST CHIROPRACTIC CLINIC, PLLC
Practice address
3500 Hillcrest Dr
Suite 8
Waco, TX 76708-3157
Phone
(254) 754-4000
Fax
(254) 754-4005
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Shamonica Trunell, D.C.NPI 1336342948
Title
Doctor of Chiropractic
Phone
(254) 754-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9664 TX Primary

Addresses

Primary practice location

3500 Hillcrest Dr
Suite 8
Waco, TX 76708-3157

Mailing address

3500 Hillcrest Dr
Suite 8
Waco, TX 76708-3157
Phone (254) 754-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000663 TX Part B Supplier - Clinic/Group Practice 2961675160 Receives reassigned benefits from 1 practitioner
Practice locations: Bellmead, TX; Gatesville, TX; Waco, TX

National Provider Directory

National Provider Directory

Locations

501 E Main St
Ste A
Gatesville, TX 76528
Phone (254) 248-1335

3500 Hillcrest Dr
Ste 8
Waco, TX 76708
Phone (254) 262-3506

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1104106335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR",
            "address_2": "SUITE 8",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083157",
            "telephone_number": "254-754-4000",
            "fax_number": "254-754-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR",
            "address_2": "SUITE 8",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083157",
            "telephone_number": "254-754-4000",
            "fax_number": "254-754-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "TRUNELL",
        "authorized_official_first_name": "SHAMONICA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "254-754-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.