Active NPI
Steven Eugene Longcor, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1962532242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5979
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603736 | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 118060100 | Other | TX | SWL & HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Pub Inc | Chiropractor | Current | 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.