Jay Humphrey DC PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

10730 Issued in TX

Legal business name

JAY HUMPHREY DC PA

Doing business as

Rockwall Spine and Sports Medicine

Practice address

1160 Horizon Rd
Rockwall, TX 75032-5498

Phone

(972) 722-8800

NPI assigned

Jan 18, 2011

Last updated

Feb 4, 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. Jay Humphrey, D.C.NPI 1972787992

Title

Owner

Phone

(972) 722-8800

Specialties & licenses 1

Addresses

Other names 1

• Rockwall Spine and Sports Medicine Doing business as

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.

• Jay Thomas Humphrey, D.C.

  • Chiropractor
  • Rockwall, TX
  • NPI 1972787992
  NPD Authorized official
• Ali Atef Hijazi, MD

  • Internal Medicine Physician
  • Low Moor, VA
  • NPI 1225033368
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1407151897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HORIZON ROAD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "972-722-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325498",
            "telephone_number": "972-722-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY HUMPHREY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-722-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "10730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Spine and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Nakiva Jarju
• Emilia Jasper
• Kyla Jasper
• Ciara L Jasso
• Jaxen Medical, LLC
• Jeffrey S. Stephens, M.D., P.a.
• Phylicia Jenkins-Reese, LVN
• Ricky Jenkins
• Varlina Iman Jenkins, FNP-C
• Jenna Webster DC LLC

• Clinic/Center in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.