Active NPI
Alex Jolly, DC
- Chiropractor
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15533
- Practice address
- 61 N Kegley Rd
Temple, TX 76502-4067 - Phone
- (254) 899-2225
- NPI assigned
- Dec 29, 2014
- Last updated
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6007 | MN | |
| Chiropractor | 111N00000X | 15533 | TX | Primary |
Addresses
Primary practice location
61 N Kegley Rd
Temple, TX 76502-4067
Mailing address
113 Sulphur River Loop
Hutto, TX 78634-4466
Phone (651) 689-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Cooperative Way
Suite 235
Georgetown, TX 78626-8211
Phone (512) 630-0060
61 N Kegley Rd
Temple, TX 76502-4067
Phone (254) 899-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15533 | TX | MD | Chiropractor |
| 6007 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Integrated Medical PLLC | Chiropractor | Current | Accepting new patients |
| Comprehensive Injury Treatment Services PLLC | Current | Accepting new patients | |
| MBS Wellness Chiropractic Center | Past | Accepting new patients |
Locations
1856 Patriot Cir
Copperas Cove, TX 76522
Phone (254) 258-2295
4887 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (512) 630-0060
101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060
539 Town Center Loop
Jarrell, TX 76537
900 W Central Texas Expy
Killeen, TX 76541
Phone (254) 634-4010
300 W Central Texas Expy
Killeen, TX 76541
Phone (225) 754-2448
2201 Double Creek Dr
Ste 4001
Round Rock, TX 78664
Phone (512) 630-0060
61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225
1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474
1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474
Organizations & group practices 3
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.
-
dba Anthony Medical and Wellness Center
- General Practice Physician
- Temple, TX
- NPI 1811325954
-
- Physical Medicine & Rehabilitation Physician
- Georgetown, TX
- NPI 1437736634
Chiropractor
-
- Health Service Clinic/Center
- Killeen, TX
- NPI 1952618258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1205224243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SULPHUR RIVER LOOP",
"city": "HUTTO",
"state": "TX",
"postal_code": "786344466",
"telephone_number": "651-689-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 N KEGLEY RD",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024067",
"telephone_number": "254-899-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-29",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6007",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.