Active NPI
Thomas Raymond Hollingsworth III, DC
- Chiropractor
- Corpus Christi, TX
National Provider Identifier
1922106780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9877
- Practice address
- 9450 Spid
Ste 5
Corpus Christi, TX 78418 - Phone
- (361) 937-9550
- Fax
- (361) 937-9550
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9877 | TX | Primary |
Addresses
Primary practice location
9450 Spid
Ste 5
Corpus Christi, TX 78418
Mailing address
PO Box 18963
Corpus Christi, TX 78480
Phone (361) 937-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608107 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9877 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C1 Legacy LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922106780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18963",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78480",
"telephone_number": "361-937-9550",
"fax_number": "361-937-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 SPID",
"address_2": "STE 5",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78418",
"telephone_number": "361-937-9550",
"fax_number": "361-937-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "THOMAS",
"middle_name": "RAYMOND",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "608107",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.