Individual provider Active NPI

Summer Phipps, DC

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1235947730
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16261 Issued in TX
Practice address
115 Sundance Pkwy Ste 505
Round Rock, TX 78681-7927
Phone
(512) 985-2225
Fax
(737) 383-2006
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 16261 TX
Nutrition Chiropractor 111NN1001X 16261 TX
Rehabilitation Chiropractor 111NR0400X 16261 TX
Chiropractor 111N00000X 16261 TX Primary

Addresses

Primary practice location

115 Sundance Pkwy Ste 505
Round Rock, TX 78681-7927

Mailing address

115 Sundance Pkwy Ste 505
Round Rock, TX 78681-7927
Phone (512) 985-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117003380 TX Practitioner - Chiropractic 7810426954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Sundance Pkwy
Suite 505
Round Rock, TX 78681-7927
Phone (512) 553-5186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16261TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
4 Wellness Limited Liability Company Chiropractor CurrentSince Dec 13, 2024 Accepting new patients

Locations

2110 620 S
Unit 341825
Lakeway, TX 78734

115 Sundance Pkwy
Ste 505
Round Rock, TX 78681
Phone (512) 553-5186

Organizations & group practices 1

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1235947730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUNDANCE PKWY STE 505",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817927",
            "telephone_number": "512-985-2225",
            "fax_number": "737-383-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUNDANCE PKWY STE 505",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817927",
            "telephone_number": "512-985-2225",
            "fax_number": "737-383-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "SUMMER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "16261",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "16261",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "16261",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.