Organization Active NPI

Connected Chiropractic PLLC

  • Chiropractor
  • Granbury, TX
National Provider Identifier
1982189841
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNECTED CHIROPRACTIC PLLC
Practice address
2155 E US Highway 377
Granbury, TX 76049-5951
Phone
(682) 233-0160
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Dr. Jill Young, DC
Title
Co Owner
Phone
(682) 233-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2155 E US Highway 377
Granbury, TX 76049-5951

Mailing address

2155 E US Highway 377
Granbury, TX 76049-5951
Phone (682) 233-0160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024001589 TX Part B Supplier - Clinic/Group Practice 1052664836 Receives reassigned benefits from 2 practitioners
Practice locations: Granbury, TX

National Provider Directory

National Provider Directory

Locations

2155 E US Highway 377
Granbury, TX 76049
Phone (682) 233-0160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1982189841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495951",
            "telephone_number": "682-233-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760495951",
            "telephone_number": "682-233-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "682-233-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.