Active NPI
Courtney Jeanne Hibben, DC
- Chiropractor
- Dallas, TX
National Provider Identifier
1659029957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15030
- Practice address
- 17754 Preston Rd Ste 3074
Dallas, TX 75252-5627 - Phone
- (469) 343-4202
- Fax
- (253) 540-4202
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- 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 | 15030 | TX | Primary |
Addresses
Primary practice location
17754 Preston Rd Ste 3074
Dallas, TX 75252-5627
Mailing address
17754 Preston Rd Ste 100
Dallas, TX 75252-5638
Phone (469) 343-4202
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15030 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1659029957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17754 PRESTON RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525638",
"telephone_number": "469-343-4202",
"fax_number": "253-540-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17754 PRESTON RD STE 3074",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525627",
"telephone_number": "469-343-4202",
"fax_number": "253-540-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBEN",
"first_name": "COURTNEY",
"middle_name": "JEANNE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-30",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.