Organization Active NPI

Credence Chiropractic LLC

  • Chiropractor
  • Georgetown, TX
National Provider Identifier
1457877342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13514 Issued in TX
Legal business name
CREDENCE CHIROPRACTIC LLC
Practice address
1103 Rivery Dr Ste 120
Georgetown, TX 78628-3056
Phone
(512) 887-1477
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Christopher Robert Hill, DCNPI 1558887448
Title
Owner
Phone
(512) 887-1477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13514 TX Primary

Addresses

Primary practice location

1103 Rivery Dr Ste 120
Georgetown, TX 78628-3056

Mailing address

1103 Rivery Dr Ste 120
Georgetown, TX 78628-3056
Phone (512) 887-1477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926002001 TX Part B Supplier - Clinic/Group Practice 1355615659 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

1103 Rivery Blvd
Ste 120
Georgetown, TX 78628
Phone (512) 887-1477

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457877342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 RIVERY DR STE 120",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283056",
            "telephone_number": "512-887-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 RIVERY DR STE 120",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283056",
            "telephone_number": "512-887-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-887-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.