Individual provider Active NPI

Steven Bradley Eustice, D.C.

  • Chiropractor
  • Denton, TX
National Provider Identifier
1154338317
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6428 Issued in TX
Practice address
721 W Hickory St
Suite F
Denton, TX 76201-4044
Phone
(940) 591-9097
Fax
(940) 591-8483
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 6428 TX Primary

Addresses

Primary practice location

721 W Hickory St
Suite F
Denton, TX 76201-4044

Mailing address

721 W Hickory St
Denton, TX 76201-4044
Phone (940) 591-9097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000910 TX Practitioner - Chiropractic 1456443621 Practice locations: Denton, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

721 W Hickory St
Denton, TX 76201-4044
Phone (940) 591-9097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic PLLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1154338317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W HICKORY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014044",
            "telephone_number": "940-591-9097",
            "fax_number": "940-591-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W HICKORY ST",
            "address_2": "SUITE F",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014044",
            "telephone_number": "940-591-9097",
            "fax_number": "940-591-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTICE",
        "first_name": "STEVEN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.