Organization Active NPI

Jdjdj Healthcare Corp

  • Chiropractor
  • Austin, TX
National Provider Identifier
1740934827
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JDJDJ HEALTHCARE CORP
Practice address
12885 Research Blvd Ste 110B
Austin, TX 78750-3223
Phone
(512) 345-7400
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mrs. Cynthia Countryman Berger
Title
Billing
Phone
(512) 751-1672

Specialties & licenses 1

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

Addresses

Primary practice location

12885 Research Blvd Ste 110B
Austin, TX 78750-3223

Mailing address

12885 Research Blvd Ste 110B
Austin, TX 78750-3223
Phone (512) 345-7400

Other names 1

  • LIVING HEALTHY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

12885 Research Blvd
Ste 110B
Austin, TX 78750
Phone (512) 345-7400

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1740934827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12885 RESEARCH BLVD STE 110B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503223",
            "telephone_number": "512-345-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12885 RESEARCH BLVD STE 110B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503223",
            "telephone_number": "512-345-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDJDJ HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "COUNTRYMAN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "512-751-1672",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVING HEALTHY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.