Active NPI
Scott Jurica, DC
- Chiropractor
- Austin, TX
National Provider Identifier
1629232160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12605
- Practice address
- 12343 Hymeadow Dr
Suite 2J
Austin, TX 78750-1878 - Phone
- (830) 992-9790
- NPI assigned
- Jul 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011263 | NY | |
| Chiropractor | 111N00000X | 12605 | TX | Primary |
Addresses
Primary practice location
12343 Hymeadow Dr
Suite 2J
Austin, TX 78750-1878
Mailing address
12343 Hymeadow Dr
Suite 2J
Austin, TX 78750-1878
Phone (830) 992-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011263 | NY | MD | Chiropractor |
| 011263 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1629232160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12343 HYMEADOW DR",
"address_2": "SUITE 2J",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501878",
"telephone_number": "830-992-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12343 HYMEADOW DR",
"address_2": "SUITE 2J",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501878",
"telephone_number": "830-992-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURICA",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011263",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.