Individual provider Active NPI

Henry Lewis Hubble, D.C.

  • Chiropractor
  • Kerrville, TX
National Provider Identifier
1679684179
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2694 Issued in TX
Practice address
448 Sidney Baker St S
Suite 101
Kerrville, TX 78028-5915
Phone
(830) 896-6020
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2694 TX Primary

Addresses

Primary practice location

448 Sidney Baker St S
Suite 101
Kerrville, TX 78028-5915

Mailing address

PO Box 1516
Suite 101
Medina, TX 78055-1516
Phone (830) 896-6020

Other identifiers 3

IdentifierTypeStateIssuer
0011223-01MedicaidTX
2694OtherTXSTATE LICENSE NUMBER
8113940OtherTXBLUE LINK NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000823 TX Practitioner - Chiropractic 5698807642 Reassigns benefits to 1 organization
Practice locations: Medina, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumrall Chiropractic IncGroup PAC ID 1355415209, 3 clinicians

Practice addresses (Care Compare)

401 Junction Hwy
Kerrville, TX 78028-4202
Phone (830) 896-4108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2694TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Linette B. Melcher, MD PA CurrentSince Dec 11, 2017 Accepting new patients

Locations

311 W Main St
Kerrville, TX 78028
Phone (830) 257-3669

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1679684179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1516",
            "address_2": "SUITE 101",
            "city": "MEDINA",
            "state": "TX",
            "postal_code": "780551516",
            "telephone_number": "830-896-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S",
            "address_2": "SUITE 101",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285915",
            "telephone_number": "830-896-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBLE",
        "first_name": "HENRY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011223-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2694",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK NUMBER",
            "identifier": "8113940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.