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
- 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 and National Provider Directory roles.
-
- Chiropractor
- Austin, TX
- NPI 1740934827
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.