Organization Active NPI

Jay M. Whetsell D.C, P.a.

  • Chiropractor
  • Aubrey, TX
National Provider Identifier
1679833099
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9302 Issued in TX
Legal business name
JAY M. WHETSELL D.C, P.A.
Practice address
102 South Highway 377
Aubrey, TX 76227
Phone
(940) 365-4000
Fax
(940) 365-4003
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Jay M. Whetsell, D.C.NPI 1750462933
Title
Owner/Doctor
Phone
(940) 365-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9302 TX Primary

Addresses

Primary practice location

102 South Highway 377
Aubrey, TX 76227

Mailing address

102 S Hwy 377
Aubrey, TX 76227
Phone (940) 365-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130305000292 TX Part B Supplier - Clinic/Group Practice 5395990964 Receives reassigned benefits from 1 practitioner
Practice locations: Aubrey, TX

National Provider Directory

National Provider Directory

Locations

102 S Highway 377
Cross Roads, TX 76227
Phone (940) 365-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1679833099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S HWY 377",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "940-365-4000",
            "fax_number": "940-365-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH HIGHWAY 377",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "76227",
            "telephone_number": "940-365-4000",
            "fax_number": "940-365-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M. WHETSELL D.C, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "WHETSELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "940-365-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.