Organization Active NPI

Chiropractic & Spinal Decompression Center P. C.

  • Chiropractor
  • Stephenville, TX
National Provider Identifier
1629087655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4707 Issued in TX
Legal business name
CHIROPRACTIC & SPINAL DECOMPRESSION CENTER P. C.
Practice address
2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645
Phone
(254) 968-4600
Fax
(254) 968-5121
NPI assigned
Aug 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven M Thomas, DCNPI 1073513073
Title
Doctor/Owner
Phone
(254) 968-4600

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
Chiropractor 111N00000X 4707 TX Primary

Addresses

Primary practice location

2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645

Mailing address

2551 Northwest Loop
Suite B
Stephenville, TX 76401-1645
Phone (254) 968-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000097 TX Part B Supplier - Clinic/Group Practice 6406954155 Receives reassigned benefits from 1 practitioner
Practice locations: Stephenville, TX

National Provider Directory

National Provider Directory

Locations

2551 NW Loop
Ste B
Stephenville, TX 76401
Phone (254) 968-4600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629087655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NORTHWEST LOOP",
            "address_2": "SUITE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011645",
            "telephone_number": "254-968-4600",
            "fax_number": "254-968-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 NORTHWEST LOOP",
            "address_2": "SUITE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011645",
            "telephone_number": "254-968-4600",
            "fax_number": "254-968-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & SPINAL DECOMPRESSION CENTER P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "254-968-4600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.