Hometown Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9980 Issued in TX

Legal business name

HOMETOWN CHIROPRACTIC, PLLC

Practice address

2200 W Ennis Ave
Suite a
Ennis, TX 75119-8054

Phone

(972) 875-8600

Fax

(972) 875-8481

NPI assigned

Nov 5, 2009

Last updated

Oct 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Marcial, D.C.NPI 1407857915

Title

Chiropractor

Phone

(972) 875-8676

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hometown Chiropractic and Rehab Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Jesus Marcial, DC

  • Chiropractor
  • Ennis, TX
  • NPI 1407857915
  Medicare reassignment NPD Authorized official
• Natasha Mazaheri, D.C.

  • Chiropractor
  • Ennis, TX
  • NPI 1467626952
  Medicare reassignment NPD

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413072000000",
    "number": "1356678718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W ENNIS AVE",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198054",
            "telephone_number": "972-875-8676",
            "fax_number": "972-875-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W ENNIS AVE",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198054",
            "telephone_number": "972-875-8600",
            "fax_number": "972-875-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2014-10-12",
        "status": "A",
        "authorized_official_last_name": "MARCIAL",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-875-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "POO389949",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "608125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186463901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Chiropractic and Rehab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Lohrman Hogue, FNP-C
• E'Dee Holley, OTA
• Jaclyn Holloway, LCSW
• Michael Holloway, PA-C
• Janie Elizabeth Holt, M.D.
• Hometown Drug Inc
• Hometown Drug Inc (Hometown Drug)
• Hometown Physical Medicine, PLLC
• Amy Michele Hopkins
• HSGF Medical (Bluebonnet Family Medicine Health and Wellness Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2014; 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.