Individual provider Active NPI

Nikolas Chase Bixenman, DC

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1932694056
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13855 Issued in TX
Practice address
3501 S Soncy Rd Ste 1001
Amarillo, TX 79119-4932
Phone
(806) 367-8719
Fax
(806) 418-4329
NPI assigned
Jul 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13855 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 1001
Amarillo, TX 79119-4932

Mailing address

1906 2ND Ave
Canyon, TX 79015-3008
Phone (806) 367-8719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929002302 NC Practitioner - Chiropractic 3971852583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Family Circle Chiropractic PLLCGroup PAC ID 3971857087, 2 clinicians

Practice addresses (Care Compare)

627 N Main St
Suite 2
Waynesville, NC 28786-3819
Phone (828) 522-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5370NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Circle Chiropractic, PLLC Chiropractor CurrentSince Aug 16, 2021 Accepting new patients

Locations

627 N Main St
#2
Waynesville, NC 28786
Phone (828) 280-8503

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": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1932694056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 2ND AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153008",
            "telephone_number": "806-367-8719",
            "fax_number": "806-418-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 1001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194932",
            "telephone_number": "806-367-8719",
            "fax_number": "806-418-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXENMAN",
        "first_name": "NIKOLAS",
        "middle_name": "CHASE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-01",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.