Individual provider Active NPI

Steven Eugene Longcor, D.C.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1962532242
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5979 Issued in TX
Practice address
3611 S Soncy Rd Ste 3a
Amarillo, TX 79119-6408
Phone
(806) 468-9760
Fax
(806) 358-0548
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5979 TX Primary

Addresses

Primary practice location

3611 S Soncy Rd Ste 3a
Amarillo, TX 79119-6408

Mailing address

3434 S Western St
Amarillo, TX 79109-4438
Phone (806) 468-9760

Other identifiers 2

IdentifierTypeStateIssuer
603736OtherTXBLUE CROSS BLUE SHIELD TX
118060100OtherTXSWL & HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000796 TX Practitioner - Chiropractic 5991986309 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3434 S Western St
Amarillo, TX 79109-4438
Phone (806) 468-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Pub Inc Chiropractor CurrentSince Nov 27, 2022 Accepting new patients

Locations

3611 S Soncy Rd
Ste 3A
Amarillo, TX 79119
Phone (806) 468-9760

3434 S Western St
Amarillo, TX 79109
Phone (806) 468-9760

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1962532242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 S WESTERN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094438",
            "telephone_number": "806-468-9760",
            "fax_number": "806-358-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S SONCY RD STE 3A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196408",
            "telephone_number": "806-468-9760",
            "fax_number": "806-358-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGCOR",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "603736",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWL & HEALTH",
            "identifier": "118060100",
            "state": "TX"
        }
    ],
    "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 22, 2022; 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.