Joint & Spine Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5291 Issued in TX

Legal business name

JOINT & SPINE CENTER PA

Practice address

100 Medical Center Parkway
Suite #100
Huntsville, TX 77340

Phone

(936) 295-1777

Fax

(936) 295-3680

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Leon Pruski, DCNPI 1801996020

Title

Owner

Phone

(936) 295-1777

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Jeffrey Leon Pruski, D.C.

  • Chiropractor
  • Huntsville, TX
  • NPI 1801996020
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1356462915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PARKWAY",
            "address_2": "SUITE #100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-295-1777",
            "fax_number": "936-295-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER PARKWAY",
            "address_2": "SUITE #100",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-295-1777",
            "fax_number": "936-295-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT & SPINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "PRUSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-295-1777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5291",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "5291",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "1036200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS I.D. NUMBER",
            "identifier": "00L17L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Pinkstaff M D PLLC
• Kellie Diann Johnson
• Melissa T Johnson, PHARM.D., BCPS
• Pamela Maine Johnson, LCSW
• Lydia Joiner, LPC ASSOCIATE
• James William Jones
• Kimberly Jones
• Trevon Jerrell Jones
• Jessica Olsen Jordan
• Joseph M. Barnes

• Chiropractor in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.