Individual provider Active NPI

Michael Chris Chapman, D.C.

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1164760443
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12222 Issued in TX
Practice address
3410 Avenue Q
Lubbock, TX 79412-1236
Phone
(806) 747-2735
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12222 TX Primary
Thermography Chiropractor 111NT0100X 12222 TX

Addresses

Primary practice location

3410 Avenue Q
Lubbock, TX 79412-1236

Mailing address

3410 Avenue Q
Lubbock, TX 79412-1236
Phone (806) 747-2735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240210000725 WA Practitioner - Chiropractic 6507000775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avise Chiropractic P L L CGroup PAC ID 5698207439, 3 clinicians

Practice addresses (Care Compare)

4017 A St SE
Suite B101
Auburn, WA 98002-8607
Phone (253) 939-8144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12222TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Wellness Center, PS Chiropractor CurrentSince Dec 17, 2023 Accepting new patients
Avise Chiropractic P L L C Chiropractor CurrentSince Apr 17, 2024 Accepting new patients
C1 Legacy LLC Chiropractor PastSince Feb 23, 2012 Accepting new patients
Renovo Chiropractic & Wellness LLC Chiropractor Past Accepting new patients
Atlinea Lubbock, LLC Chiropractor Past Accepting new patients

Locations

4017 A St SE
Ste B101
Auburn, WA 98002
Phone (253) 939-8144

1409 S 348th St
Ste D103
Federal Way, WA 98003
Phone (253) 839-8608

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1164760443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121236",
            "telephone_number": "806-747-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121236",
            "telephone_number": "806-747-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MICHAEL",
        "middle_name": "CHRIS",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12222",
            "primary": true
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "TX",
            "license": "12222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.