Individual provider Active NPI

Jesse Honnas, DC

  • Chiropractor
  • Bryan, TX
National Provider Identifier
1194566588
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16075 Issued in TX
Practice address
3131 E 29TH St
Bryan, TX 77802-2736
Phone
(979) 774-0055
NPI assigned
Jun 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16075 TX Primary

Addresses

Primary practice location

3131 E 29TH St
Bryan, TX 77802-2736

Mailing address

3131 E 29TH St
Bryan, TX 77802-2736
Phone (979) 774-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731004807 TX Practitioner - Chiropractic 0042757676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Wellness PLLCGroup PAC ID 9234415340, 5 clinicians

Practice addresses (Care Compare)

3131 E 29TH St
Suite a
Bryan, TX 77802-2701
Phone (979) 774-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16075TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Wellness PLLC Chiropractor CurrentSince May 31, 2024 Accepting new patients
Grace Wellness Center Chiropractor PastSince May 31, 2024 Accepting new patients

Locations

3131 E 29th St
Ste A
Bryan, TX 77802
Phone (979) 774-0055

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": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1194566588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022736",
            "telephone_number": "979-774-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022736",
            "telephone_number": "979-774-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONNAS",
        "first_name": "JESSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.