Organization Active NPI

Power Family Chiropractic, P.C.

Doing business as Power Family Chiropractic

  • Chiropractor
  • San Angelo, TX
National Provider Identifier
1891829990
Registry record updated Dec 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6747 Issued in TX
Legal business name
POWER FAMILY CHIROPRACTIC, P.C.
Doing business as
Power Family Chiropractic
Practice address
3419A Johnson Ave
San Angelo, TX 76904-5554
Phone
(325) 812-8140
NPI assigned
Mar 14, 2007
Last updated
Dec 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2012

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

Authorized official

Name
Dr. Jeffrey Gray Power, D.C.NPI 1629156161
Title
Owner
Phone
(325) 812-8140

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
Chiropractor 111N00000X 6747 TX Primary

Addresses

Primary practice location

3419A Johnson Ave
San Angelo, TX 76904-5554

Mailing address

9582 Floyd LN
San Angelo, TX 76901-9729
Phone (325) 812-8140

Other identifiers 1

IdentifierTypeStateIssuer
8K3870OtherTXBCBS

Other names 1

  • Power Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000630 TX Part B Supplier - Clinic/Group Practice 8527030790 Receives reassigned benefits from 1 practitioner
Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory

Locations

3353 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-4120

3419A Johnson Ave
San Angelo, TX 76904
Phone (325) 812-8140

3808 Sherwood Way
San Angelo, TX 76901
Phone (325) 949-1600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356220800000",
    "number": "1891829990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 FLOYD LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769019729",
            "telephone_number": "325-812-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419A JOHNSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045554",
            "telephone_number": "325-812-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-12-23",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-812-8140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K3870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.