TXK Chiropractic Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TXK CHIROPRACTIC CORP.

Practice address

4206 Richmond PL
Texarkana, TX 75503-0003

Phone

(903) 499-6369

Fax

(903) 499-5388

NPI assigned

Jul 17, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Christopher Jobe, DCNPI 1912070954

Title

Owner

Phone

(903) 499-6369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Christopher Jobe, D.C.

  • Chiropractor
  • Prosper, TX
  • NPI 1912070954
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1710725437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 RICHMOND PL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030003",
            "telephone_number": "903-499-6369",
            "fax_number": "903-499-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 RICHMOND PL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030003",
            "telephone_number": "903-499-6369",
            "fax_number": "903-499-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TXK CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-499-6369",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.