Organization Active NPI

Humphrey Chiropractic LLC

Doing business as Evolve Chiropractic

  • Physical Therapy Clinic/Center
  • Dripping Springs, TX
National Provider Identifier
1558950485
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HUMPHREY CHIROPRACTIC LLC
Doing business as
Evolve Chiropractic
Practice address
400 W Highway 290 Ste B203
Dripping Springs, TX 78620-4382
Phone
(614) 296-2456
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Dr. Jackson Humphrey, DC
Title
Owner
Phone
(512) 829-5216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

400 W Highway 290 Ste B203
Dripping Springs, TX 78620-4382

Mailing address

400 W Highway 290 Ste B203
Dripping Springs, TX 78620-4382
Phone (614) 296-2456

Other names 1

  • Evolve Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

400 W Highway 290
Ste B203
Dripping Springs, TX 78620
Phone (512) 829-5216

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1558950485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W HIGHWAY 290 STE B203",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204382",
            "telephone_number": "614-296-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W HIGHWAY 290 STE B203",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204382",
            "telephone_number": "614-296-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-829-5216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.