Organization Active NPI

Sulphur Springs Chiropractic Associates Inc

  • Chiropractor
  • Sulphur Springs, TX
National Provider Identifier
1336650175
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11255 Issued in TX
Legal business name
SULPHUR SPRINGS CHIROPRACTIC ASSOCIATES INC
Practice address
207 Jefferson St E
Sulphur Springs, TX 75482
Phone
(903) 919-5020
Fax
(903) 784-4188
NPI assigned
Oct 19, 2017
Last updated
Jul 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Sean David Welborn, D.C.NPI 1366765299
Title
Doctor/Owner
Phone
(903) 785-5551

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 11255 TX Primary

Addresses

Primary practice location

207 Jefferson St E
Sulphur Springs, TX 75482

Mailing address

207 Jefferson St E
Sulphur Springs, TX 75482-2643
Phone (903) 919-5020

Other practice location 1

3305 NE Loop 286 Ste A
Paris, TX 75460-3402
Phone (903) 785-5551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180829001959 TX Part B Supplier - Clinic/Group Practice 6507116365 Receives reassigned benefits from 4 practitioners
Practice locations: Sulphur Springs, TX

National Provider Directory

National Provider Directory

Locations

3305 NE Loop 286
Ste A
Paris, TX 75460
Phone (903) 784-2111

207 Jefferson St E
Sulphur Springs, TX 75482
Phone (903) 249-8399

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1336650175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST E",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822643",
            "telephone_number": "903-919-5020",
            "fax_number": "903-784-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST E",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "75482",
            "telephone_number": "903-919-5020",
            "fax_number": "903-784-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 NE Loop 286 Ste A",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754603402",
            "country_code": "US",
            "telephone_number": "903-785-5551",
            "fax_number": "903-784-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SULPHUR SPRINGS CHIROPRACTIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "903-785-5551",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.