CMS-1500 Box 24J / 33a • NPI
1336567015
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
111NR0400X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation
Box 32 Service Location & ZIP+4
710 S GREGG ST FL 1, BIG SPRING, TX, 79720-2425
✓ 9-Digit EDI 837 ZIP+4 (79720-2425)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336567015 (AFFORDACARE SPINE & REHAB) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336567015 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AFFORDACARE SPINE & REHAB |
| Plain-English Specialty | Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation NUCC Code: 111NR0400X (Chiropractor, Rehabilitation) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 710 S GREGG ST FL 1, BIG SPRING, TX, 79720-2425 |
| Practice Telephone / Fax | Tel: (432) 517-4692 | Fax: (432) 517-4698 |
| Administrative Mailing Address | PO BOX 4077, ABILENE, TX, 79608-4077 |
| Enumeration & Last Sync | Enumerated: 2014-03-31 | CMS Record Updated: 2014-03-31 |
| Authorized Official | RYAN BAILEY (Partner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (111NR0400X)
What Does Taxonomy Code 111NR0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0400X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AFFORDACARE SPINE & REHAB)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: N/A | License: Verified | Primary: Secondary |
111NR0400X — Chiropractor, RehabilitationPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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