Individual provider Active NPI

Andrew Yakubik, DC

  • Chiropractor
  • Temple, TX
National Provider Identifier
1205453685
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14318 Issued in TX
Practice address
61 N Kegley Rd
Temple, TX 76502-4067
Phone
(254) 899-2225
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14318 TX Primary

Addresses

Primary practice location

61 N Kegley Rd
Temple, TX 76502-4067

Mailing address

6116 Catania Dr
Temple, TX 76502-8012
Phone (301) 704-5358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003028 TX Practitioner - Chiropractic 7416374723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Integrated Medical PLLCGroup PAC ID 5193113611, 14 clinicians
Waco Integrated Medical PLLCGroup PAC ID 3274863808, 10 clinicians
Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

101 Cooperative Way
Suite 235
Georgetown, TX 78626-8211
Phone (512) 630-0060

1139 N Loop
Suite 340
Waco, TX 76705-2486
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710-7022
Phone (254) 537-1064

61 N Kegley Rd
Temple, TX 76502-4067
Phone (254) 899-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC Single Specialty CurrentSince Dec 9, 2020 Accepting new patients
Georgetown Integrated Medical PLLC Chiropractor CurrentSince Jul 20, 2021 Accepting new patients
Comprehensive Injury Treatment Services PLLC Single Specialty CurrentSince Jun 13, 2020 Accepting new patients

Locations

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

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.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1205453685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 CATANIA DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765028012",
            "telephone_number": "301-704-5358"
        },
        {
            "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": "YAKUBIK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14318",
            "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 Jul 1, 2020; 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.