Organization Active NPI

Hancock Family Chiropractic PLLC

  • Chiropractor
  • Spring, TX
National Provider Identifier
1588022750
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8353 Issued in TX
Legal business name
HANCOCK FAMILY CHIROPRACTIC PLLC
Practice address
3930 Louetta Rd
Ste a
Spring, TX 77388-4565
Phone
(281) 528-9177
Fax
(281) 528-9545
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Dr. Shane Hancock, D.C.NPI 1871679324
Title
Owner
Phone
(281) 528-9177

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 8353 TX Primary

Addresses

Primary practice location

3930 Louetta Rd
Ste a
Spring, TX 77388-4565

Mailing address

3930 Louetta Rd
Ste a
Spring, TX 77388
Phone (281) 528-9177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212001669 TX Part B Supplier - Clinic/Group Practice 3577867431 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

3930 Louetta Rd
Ste A
Spring, TX 77388
Phone (281) 528-9177

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": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1588022750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 LOUETTA RD",
            "address_2": "STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-528-9177",
            "fax_number": "281-528-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 LOUETTA RD",
            "address_2": "STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884565",
            "telephone_number": "281-528-9177",
            "fax_number": "281-528-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-528-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.