Individual provider Active NPI

Trevor Wayne Hurtig, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1306515192
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15539 Issued in TX
Practice address
1770 Saint James PL Ste 210
Houston, TX 77056-3432
Phone
(713) 622-3300
Fax
(281) 476-6134
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3478 TN
Chiropractor 111N00000X 15539 TX Primary

Addresses

Primary practice location

1770 Saint James PL Ste 210
Houston, TX 77056-3432

Mailing address

3675 Summer Ave
Memphis, TN 38122-3742
Phone (901) 323-3613

Other practice location 1

3675 Summer Ave
Memphis, TN 38122-3742
Phone (901) 323-3613

Other identifiers 2

IdentifierTypeStateIssuer
3478OtherTNSTATE LICENSE
15539OtherTXSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020000353 TX Practitioner - Chiropractic 7810394772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Core Chiropractic Inc.Group PAC ID 0345471165, 7 clinicians

Practice addresses (Care Compare)

1770 Saint James PL
Suite 210
Houston, TX 77056-3432
Phone (713) 622-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Chiropractic Inc Chiropractor CurrentSince Oct 4, 2023 Accepting new patients
Core Chiropractic Memorial City LLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients

Locations

1770 Saint James Pl
Ste 210
Houston, TX 77056
Phone (713) 622-3300

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1306515192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223742",
            "telephone_number": "901-323-3613",
            "fax_number": "901-454-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SAINT JAMES PL STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563432",
            "telephone_number": "713-622-3300",
            "fax_number": "281-476-6134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 Summer Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381223742",
            "country_code": "US",
            "telephone_number": "901-323-3613",
            "fax_number": "901-454-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTIG",
        "first_name": "TREVOR",
        "middle_name": "WAYNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3478",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3478",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.