Javier Samuel Hernandez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC9979 Issued in TX

Practice address

1200 Golden Key Cir Ste 331
El Paso, TX 79925-5891

Phone

(915) 790-3471

Fax

(915) 581-6324

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S. R. Healthcare

  • Chiropractor
  • El Paso, TX
  • NPI 1063839181
  NPD Authorized official
• Aguayo Chiropractic PC

  • Chiropractor
  • El Paso, TX
  • NPI 1144320243
  NPD (past)
• Truecare Chiropractic & Acupuncture, PC

  • Chiropractor
  • El Paso, TX
  • NPI 1487923702
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1437148335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR STE 331",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255891",
            "telephone_number": "915-790-3471",
            "fax_number": "915-591-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GOLDEN KEY CIR STE 331",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255891",
            "telephone_number": "915-790-3471",
            "fax_number": "915-581-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAVIER",
        "middle_name": "SAMUEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE NUMBER",
            "identifier": "DC9979",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM DC LICENSE",
            "identifier": "1682",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel Hernandez
• Ivan Hernandez
• Ivette Hernandez, FNP
• Jacob Hernandez, MD
• Jaquelyn Hernandez
• Jennifer Hernandez, LPC
• Jessica Hernandez
• Jessica Hernandez
• Jesus A Hernandez, M.D.
• Jose Hernandez

• Chiropractor in El Paso, TX
• Providers in El Paso, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.