Individual provider Active NPI

Jon Eberle, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1679020515
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13264 Issued in TX
Practice address
13062 US 290 W
Suite 100
Austin, TX 78737
Phone
(512) 362-8865
Fax
(888) 660-3135
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13264 TX Primary

Addresses

Primary practice location

13062 US 290 W
Suite 100
Austin, TX 78737

Mailing address

13062 US-290
Austin, TX 78737-8811
Phone (512) 362-8865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702001292 TX Practitioner - Chiropractic 0143576371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13062 W Hwy 290
Suite 100
Austin, TX 78737-8834
Phone (512) 362-8865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13264TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Sports Chiropractic PLLC CurrentSince May 16, 2018 Accepting new patients

Locations

13062 W US 290 Hwy
Ste 100
Austin, TX 78737
Phone (512) 362-8865

13062 W US 290 Hwy
Austin, TX 78737

9300 W US Highway 290
Ste A
Austin, TX 78736
Phone (512) 362-8865

11210 W US 290 Hwy
#A230
Austin, TX 78737
Phone (512) 362-8865

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1679020515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13062 US-290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787378811",
            "telephone_number": "512-362-8865",
            "fax_number": "888-660-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13062 US 290 W",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-362-8865",
            "fax_number": "888-660-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "JON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-04-29",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13264",
            "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 Apr 29, 2022; 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.