Active NPI
Jimmy Dean Aycock, D.C.
- Chiropractor
- Temple, TX
National Provider Identifier
1629128103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2317
- Practice address
- 315 N 3Rd St
Temple, TX 76501-3160 - Phone
- (254) 773-2139
- Fax
- (254) 773-2130
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2317 | TX | Primary |
Addresses
Primary practice location
315 N 3Rd St
Temple, TX 76501-3160
Mailing address
315 N 3Rd St
Temple, TX 76501-3160
Phone (254) 773-2139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090202000345 | TX | Practitioner - Chiropractic | 4981768298 | Practice locations: Temple, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1972
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
315 N 3Rd St
Temple, TX 76501-3160
Phone (254) 773-2139
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2317 | TX | MD | Chiropractor |
| 2317 | TX | MD | Medical Laboratory Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1629128103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N 3RD ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765013160",
"telephone_number": "254-773-2139",
"fax_number": "254-773-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N 3RD ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765013160",
"telephone_number": "254-773-2139",
"fax_number": "254-773-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "JIMMY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC2317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.