Individual provider Active NPI

Jeffrey Gray Power, DC

  • Chiropractor
  • San Angelo, TX
National Provider Identifier
1629156161
Registry record updated Dec 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6747 Issued in TX
Practice address
3419A Johnson Ave
San Angelo, TX 76904-5554
Phone
(325) 812-8140
NPI assigned
Nov 1, 2006
Last updated
Dec 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6747 TX Primary

Addresses

Primary practice location

3419A Johnson Ave
San Angelo, TX 76904-5554

Mailing address

9582 Floyd LN
San Angelo, TX 76901-9729
Phone (325) 812-8140

Other identifiers 1

IdentifierTypeStateIssuer
8K3870OtherTXBLUECROSSBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000293 TX Practitioner - Chiropractic 5698747863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3419 A Johnson Ave
San Angelo, TX 76904-5554
Phone (325) 812-8140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Power Family Chiropractic, P.C. Chiropractor CurrentSince Jan 2, 2013 Accepting new patients

Locations

3419A Johnson Ave
San Angelo, TX 76904
Phone (325) 812-8140

3808 Sherwood Way
San Angelo, TX 76901
Phone (325) 949-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356220800000",
    "number": "1629156161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 FLOYD LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769019729",
            "telephone_number": "325-812-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419A JOHNSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045554",
            "telephone_number": "325-812-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWER",
        "first_name": "JEFFREY",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "8K3870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2012; 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.

Verify at the official NPI Registry.