Individual provider Active NPI

Jason Wayne Hayden, D.C.

  • Chiropractor
  • Edna, TX
National Provider Identifier
1164571337
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7854 Issued in TX
Practice address
522 W Main St
Edna, TX 77957-2569
Phone
(361) 782-0798
Fax
(361) 782-0799
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7854 TX Primary

Addresses

Primary practice location

522 W Main St
Edna, TX 77957-2569

Mailing address

522 W Main St
Edna, TX 77957-2569
Phone (361) 782-0798

Other identifiers 2

IdentifierTypeStateIssuer
605803OtherTXBLUE CROSS
P00755212OtherRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000364 TX Practitioner - Chiropractic 9830103167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayden Chiropractic, PLLCGroup PAC ID 2062577992, 2 clinicians

Practice addresses (Care Compare)

522 W Main St
Edna, TX 77957-2569
Phone (261) 782-0798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7854TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hayden Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2009 Accepting new patients
Xcel Mobile X-Ray Past Accepting new patients

Locations

522 W Main St
Edna, TX 77957
Phone (261) 782-0798

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1164571337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572569",
            "telephone_number": "361-782-0798",
            "fax_number": "361-782-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572569",
            "telephone_number": "361-782-0798",
            "fax_number": "361-782-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "605803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00755212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.