Organization Active NPI

Sumrall Chiropractic Inc

  • Chiropractor
  • Kerrville, TX
National Provider Identifier
1265690648
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUMRALL CHIROPRACTIC INC
Practice address
311 W Main St
Kerrville, TX 78028-4292
Phone
(830) 896-4108
Fax
(830) 896-4120
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Zachary Thomas Sumrall, D.C.NPI 1003065848
Title
Co-Owner
Phone
(830) 896-4108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

311 W Main St
Kerrville, TX 78028-4292

Mailing address

311 W Main St
Kerrville, TX 78028-4292
Phone (830) 896-4108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000503 TX Part B Supplier - Clinic/Group Practice 1355415209 Receives reassigned benefits from 3 practitioners
Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1265690648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284292",
            "telephone_number": "830-896-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284292",
            "telephone_number": "830-896-4108",
            "fax_number": "830-896-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMRALL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "SUMRALL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "830-896-4108",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.