Organization Active NPI

Phillips Chiropractic, PLLC

  • Clinic/Center
  • Georgetown, TX
National Provider Identifier
1114485497
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PHILLIPS CHIROPRACTIC, PLLC
Practice address
1520 Leander Rd Ste 103
Georgetown, TX 78628-8842
Phone
(512) 639-4849
NPI assigned
Mar 6, 2019
Organization subpart
Yes
Parent organization
PHILLIPS CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Shelby Danielle Phillips, DC
Title
Owner
Phone
(512) 639-4849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1520 Leander Rd Ste 103
Georgetown, TX 78628-8842

Mailing address

80 County Road 124
Georgetown, TX 78626-2468
Phone (512) 639-4849

Other names 1

  • Phillips Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604000651 TX Part B Supplier - Clinic/Group Practice 8921331174 Receives reassigned benefits from 2 practitioners
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory
Part of
Phillips Chiropractic PLLC

Locations

1520 Leander Rd
Ste 103
Georgetown, TX 78628
Phone (512) 639-4849

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1114485497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 COUNTY ROAD 124",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262468",
            "telephone_number": "512-639-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LEANDER RD STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288842",
            "telephone_number": "512-639-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS CHIROPRACTIC",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-639-4849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.