Individual provider Active NPI

Jillian Longoria

  • Chiropractor
  • Houston, TX
National Provider Identifier
1972912731
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12654 Issued in TX
Practice address
12155 Jones Rd Ste a
Apt 434
Houston, TX 77070-5281
Phone
(281) 890-5599
Fax
(281) 890-7067
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12654 TX Primary

Addresses

Primary practice location

12155 Jones Rd Ste a
Apt 434
Houston, TX 77070-5281

Mailing address

12155 Jones Rd Ste a
Apt 434
Houston, TX 77070-5281
Phone (281) 890-5599

Other names 1

  • Dr. Jillian Blaire Longoria Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12654TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Taher DC PA Chiropractor PastSince Jan 6, 2010 Accepting new patients

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1972912731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 JONES RD STE A",
            "address_2": "APT 434",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705281",
            "telephone_number": "281-890-5599",
            "fax_number": "281-890-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 JONES RD STE A",
            "address_2": "APT 434",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705281",
            "telephone_number": "281-890-5599",
            "fax_number": "281-890-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "LONGORIA",
            "middle_name": "BLAIRE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.