Specific Clinic of Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPECIFIC CLINIC OF CHIROPRACTIC PLLC

Practice address

204 Paloma Dr Ste 110
Temple, TX 76502-2211

Phone

(254) 958-2677

NPI assigned

Mar 25, 2020

Last updated

Nov 4, 2020By 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. Josean Omar Jimenez, DC

Title

Owner/Manager

Phone

(939) 865-8111

Specialties & licenses 1

Addresses

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.

• Josean Omar Jimenez Rodriguez, DC

  • Chiropractor
  • Round Rock, TX
  • NPI 1790310076
  Medicare reassignment NPD
• Idileimy Nanette Hernandez Barreto, DC

  • Chiropractor
  • Temple, TX
  • NPI 1720689292
  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1396372702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PALOMA DR STE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022211",
            "telephone_number": "254-958-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PALOMA DR STE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022211",
            "telephone_number": "254-958-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC CLINIC OF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOSEAN",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "939-865-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Sparkman, RN, BSN
• Karen Cooper Sparks, MSN, AGACNP-BC
• Sparrow Home Care LLC
• Specialized Wound Healing of Texas
• Specialty Pharmacy Services, Inc.
• Kelly R Speer, LPC
• Dennis Lee Spence, CRNA
• Amy Elizabeth Spencer, LCSW
• Claireisa Lashaun Spencer, FNP-BC
• Kelsey Spencer, AUD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.