Jared David Chambless, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12749 Issued in TX

Practice address

5224 75TH St
Suite B
Lubbock, TX 79424-2523

Phone

(806) 797-4000

Fax

(806) 771-3659

NPI assigned

Sep 30, 2014

Sex

Male

Sole proprietor

No

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.

• Plainview Chiropractic PA

  • Chiropractor
  • Plainview, TX
  • NPI 1124538350
  Medicare reassignment NPD Authorized official CHIROPRACTOR · TX
• 10611 Medical Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lubbock, TX
  • NPI 1891430989
  NPD CHIROPRACTOR

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2017.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1891198263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242523",
            "telephone_number": "806-797-4000",
            "fax_number": "806-771-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 75TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242523",
            "telephone_number": "806-797-4000",
            "fax_number": "806-771-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLESS",
        "first_name": "JARED",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "378878AL9V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luiz G Cesar, MD
• Ankit Chalia, M.D.
• Gayane Chalyan, D.O.
• Michael Hood Chamales, M.D.
• Lana A Chambers, NP
• Jackqueline Lashawn Chance, CNA,CMA
• Shonda Chancey, FNP
• Whitney Lynn Chancia, MD
• Chanda S Dihenia MD PA
• Crystal Michelle Chandler

• All providers in Lubbock, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.