Individual provider Active NPI

James Edward Stubbs Jr., D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1942484795
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7886 Issued in AZ
Practice address
3421 W William Cannon Dr Ste 145
Austin, TX 78745-5002
Phone
(512) 358-0325
Fax
(602) 952-2803
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7886 AZ Primary

Addresses

Primary practice location

3421 W William Cannon Dr Ste 145
Austin, TX 78745-5002

Mailing address

3421 W William Cannon Dr
Ste 145
Austin, TX 78745-5002
Phone (602) 952-2802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016002736 TX Practitioner - Chiropractic 5991926867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3421 W William Cannon Dr
Suite 145
Austin, TX 78745-5002
Phone (512) 358-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
7886AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Life LLC Chiropractor Current Accepting new patients
Optimal WC Inc Chiropractor CurrentSince Apr 19, 2014 Accepting new patients
Desert Sky Chiropractic Past Accepting new patients

Locations

3421 W William Cannon Dr
Ste 145
Austin, TX 78745
Phone (512) 358-0325

Organizations & group practices 3

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1942484795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W WILLIAM CANNON DR",
            "address_2": "STE 145",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455002",
            "telephone_number": "602-952-2802",
            "fax_number": "602-952-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W WILLIAM CANNON DR STE 145",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455002",
            "telephone_number": "512-358-0325",
            "fax_number": "602-952-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2023; 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.