Organization Active NPI

Epic Chiropractic, LLC

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1710484597
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13703 Issued in TX
Legal business name
EPIC CHIROPRACTIC, LLC
Doing business as
Legacy Spine And Nerve Care
Practice address
5318 114TH St
Lubbock, TX 79424-6621
Phone
(806) 783-0644
Fax
(806) 224-0428
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Dr. Courtney D Sproul, DCNPI 1649776808
Title
President
Phone
(806) 783-0644

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 13703 TX Primary

Addresses

Primary practice location

5318 114TH St
Lubbock, TX 79424-6621

Mailing address

5318 114TH St
Lubbock, TX 79424-6621
Phone (806) 783-0644

Other names 1

  • Legacy Spine And Nerve Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dr@legacyucc.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523000215 TX Part B Supplier - Clinic/Group Practice 9032474077 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

7021 Kewanee Ave
Unit 8101
Lubbock, TX 79424
Phone (806) 783-0644

7021 Kewanee Ave
Unit 810
Lubbock, TX 79424
Phone (806) 783-0644

5318 114th St
Lubbock, TX 79424
Phone (806) 783-0644

Practitioners & affiliated clinicians

Practitioners 2

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1710484597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246621",
            "telephone_number": "806-783-0644",
            "fax_number": "806-224-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246621",
            "telephone_number": "806-783-0644",
            "fax_number": "806-224-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-783-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dr@legacyucc.com",
            "affiliation": "N",
            "address_1": "5318 114th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794246621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Legacy Spine And Nerve Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.