Active NPI
Gary R. Heximer, D.C.
- Chiropractor
- Gonzales, TX
National Provider Identifier
1336206747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TX10438
- Practice address
- 1304 N Sarah Dewitt Dr
Gonzales, TX 78629-3314 - Phone
- (830) 672-7986
- Fax
- (830) 672-6424
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | TX10438 | TX | Primary |
Addresses
Primary practice location
1304 N Sarah Dewitt Dr
Gonzales, TX 78629-3314
Mailing address
1304 N Sarah Dewitt Dr
Gonzales, TX 78629-3314
Phone (830) 672-7986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1859464-01 | Medicaid | TX | |
| 330080847 | Other | CA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070329000530 | TX | Practitioner - Chiropractic | 4183728298 | Practice locations: Gonzales, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1304 N Sarah Dewitt Dr
Gonzales, TX 78629-3314
Phone (830) 672-7986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX10438 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1336206747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293314",
"telephone_number": "830-672-7986",
"fax_number": "830-672-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293314",
"telephone_number": "830-672-7986",
"fax_number": "830-672-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEXIMER",
"first_name": "GARY",
"middle_name": "R.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "TX10438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1859464-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "330080847",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.