Active NPI
Jay Thomas Humphrey, D.C.
- Chiropractor
- Rockwall, TX
National Provider Identifier
1972787992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10730
- Practice address
- 1160 Horizon Rd
Rockwall, TX 75032-5498 - Phone
- (972) 722-8800
- Fax
- (972) 722-8804
- NPI assigned
- Dec 27, 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 | 10730 | TX | Primary |
Addresses
Primary practice location
1160 Horizon Rd
Rockwall, TX 75032-5498
Mailing address
433 E Interstate 30
Rockwall, TX 75087-5406
Phone (972) 722-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090423000265 | TX | Practitioner - Chiropractic | 4880742212 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
433 E Interstate 30
Rockwall Spine and Sports Medicine
Rockwall, TX 75087-5406
Phone (972) 722-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10730 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Humphrey DC PA | Current | Accepting new patients | |
| Collaborative Health Group, PLLC | Past | Accepting new patients | |
| Mary L Collings, PA | Chiropractor | Past | Accepting new patients |
Locations
1160 Horizon Rd
Rockwall, TX 75032
Phone (972) 498-1100
433 E Interstate 30
Rockwall, TX 75087
Phone (972) 722-8800
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.
-
- Clinic/Center
- Rockwall, TX
- NPI 1407151897
-
- Interventional Pain Medicine Physician
- Dallas, TX
- NPI 1386265353
-
- Chiropractor
- Dallas, TX
- NPI 1851567580
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": "1461024000000",
"number": "1972787992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 E INTERSTATE 30",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875406",
"telephone_number": "972-722-8800",
"fax_number": "972-722-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 HORIZON RD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750325498",
"telephone_number": "972-722-8800",
"fax_number": "972-722-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "JAY",
"middle_name": "THOMAS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.