DR. JACOB C HAMBLEN (NPI# 1063908390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063908390 |
| Entity Type | Individual |
| Full Name | DR. JACOB C HAMBLEN |
| Credential | DC |
| Practice Address |
4560 Lake Ridge Pkwy Ste 200 Grand Prairie TX 75052-1706 |
| Mailing Address |
Po Box 700688 San Antonio TX 78270-0688 |
| Practice Telephone | 8004046050 |
| Practice Fax Number | 8663133397 |
| Mailing Telephone | 2104777654 |
| Mailing Fax Number | 2104680682 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13812 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS | 13812 | 01 |
| Street Address |
4560 LAKE RIDGE PKWY STE 200 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653138 | Ap Injury & Wellness, Pllc | Chiropractor | 2000 S Belt Line Rd Ste 102, Grand Prairie, TX 75051-4157 | 2019-01-31 |
| 1902288400 | Rueben Mathew Gutierrez | Chiropractor | 3553 Canyon Rd, Grand Prairie, TX 75052-7852 | 2015-06-22 |
| 1235407479 | Jorge Rene Sanchez | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2011-12-02 |
| 1992002521 | New Grand Prairie Chiropractic | Chiropractor | 1101 N Carrier Pkwy, Suite E, Grand Prairie, TX 75050-3382 | 2011-02-17 |
| 1336444850 | Charlotte J Watts | Chiropractor | 560 Parkview Dr, Grand Prairie, TX 75052-3168 | 2011-01-13 |
| 1225331747 | Freedom Chiropractic & Wellness Center LLP | Chiropractor | 5115 Lakeridge Pkwy, Suite 170, Grand Prairie, TX 75052-3003 | 2010-12-07 |
| 1194053025 | Smith Chiropractic, Inc. | Chiropractor | 2210 Meadow Lake Dr, Grand Prairie, TX 75050-1719 | 2009-12-04 |
| 1851567374 | Fort Worth Rehab Group, Inc. | Chiropractor | 928 N Belt Line Rd, Suite 200, Grand Prairie, TX 75050-5864 | 2008-05-05 |
| 1891832689 | Sara A Downey | Chiropractor | 638 W Church St, Grand Prairie, TX 75050-5529 | 2007-01-31 |
| 1568509362 | Patrick Joseph Downey | Chiropractor | 605 E Palace Pkwy, A3, Grand Prairie, TX 75050-2327 | 2007-01-31 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on DR. JACOB C HAMBLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.