Individual provider Active NPI

Calvin Wayne Plumb, D.C.

  • Chiropractor
  • New Braunfels, TX
National Provider Identifier
1669438164
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9996 Issued in TX
Practice address
952 Gruene Rd Ste 150
New Braunfels, TX 78130-3934
Phone
(830) 626-1200
Fax
(866) 781-4445
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9996 TX Primary

Addresses

Primary practice location

952 Gruene Rd Ste 150
New Braunfels, TX 78130-3934

Mailing address

952 Gruene Rd Ste 150
New Braunfels, TX 78130-3934
Phone (830) 626-1200

Other practice location 1

1619 E Common St
601
New Braunfels, TX 78130-3452
Phone (830) 626-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000356 TX Practitioner - Chiropractic 6406891969 Reassigns benefits to 1 organization
Practice locations: New Braunfels, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Jay L Gruhlkey MD PAGroup PAC ID 6103997374, 4 clinicians

Practice addresses (Care Compare)

952 Gruene Rd
Suite 150
New Braunfels, TX 78130-3934
Phone (830) 626-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9996TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay L Gruhlkey MD PA CurrentSince Aug 23, 2019 Accepting new patients
Lone Star Medical, PA PastSince Aug 23, 2019 Accepting new patients

Locations

301 Main Plz
New Braunfels, TX 78130
Phone (210) 710-4265

952 Gruene Rd
Ste 150
New Braunfels, TX 78130
Phone (830) 626-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1570/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1669438164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 GRUENE RD STE 150",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303934",
            "telephone_number": "830-626-1200",
            "fax_number": "866-781-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GRUENE RD STE 150",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303934",
            "telephone_number": "830-626-1200",
            "fax_number": "866-781-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 E Common St",
            "address_2": "601",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781303452",
            "country_code": "US",
            "telephone_number": "830-626-1200",
            "fax_number": "866-781-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "CALVIN",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.