Active NPI
Jeffrey M Gancas, D.C
- Chiropractor
- Austin, TX
National Provider Identifier
1679613848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11241
- Practice address
- 11754 Jollyville Rd Ste 102
Austin, TX 78759-3948 - Phone
- (512) 345-7400
- Fax
- (512) 345-7405
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11241 | TX | Primary |
Addresses
Primary practice location
11754 Jollyville Rd Ste 102
Austin, TX 78759-3948
Mailing address
11754 Jollyville Rd Ste 102
Austin, TX 78759-3948
Phone (512) 345-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091205000129 | TX | Practitioner - Chiropractic | 9830238773 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12885 Research Blvd
Suite 110B
Austin, TX 78750-3223
Phone (512) 345-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jdjdj Healthcare Corp | Chiropractor | Past | Accepting new patients |
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": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1679613848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11754 JOLLYVILLE RD STE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593948",
"telephone_number": "512-345-7400",
"fax_number": "512-345-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11754 JOLLYVILLE RD STE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593948",
"telephone_number": "512-345-7400",
"fax_number": "512-345-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANCAS",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11241",
"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 Jul 20, 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.