ACTIVE HEALTH CENTER, PC — NPI 1831336544 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation in ROUND ROCK, TX)

CMS-1500 Box 24J / 33a • NPI

1831336544

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

1713 S MAYS ST STE A, ROUND ROCK, TX, 78664-6738

✓ 9-Digit EDI 837 ZIP+4 (78664-6738)

Practice Phone & Referral Fax

(512) 310-2747

Fax: (512) 310-2759

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831336544 (ACTIVE HEALTH CENTER, PC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831336544` (NPI-2 Organization / Facility)
Provider / Legal Name	ACTIVE HEALTH CENTER, PC
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	1713 S MAYS ST STE A, ROUND ROCK, TX, 78664-6738
Practice Telephone / Fax	Tel: (512) 310-2747 \| Fax: (512) 310-2759
Administrative Mailing Address	1713 S MAYS ST STE A, ROUND ROCK, TX, 78664-6738
Enumeration & Last Sync	Enumerated: 2009-01-16 \| CMS Record Updated: 2009-09-30
Authorized Official	KEVIN HANDCOCK (President/Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1713 S MAYS ST STE A, ROUND ROCK, TX, 78664-6738

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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"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACTIVE HEALTH CENTER, PC)

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

Common Therapeutic Classes:

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
`111NR0400X` — Chiropractor, Rehabilitation Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation	State: TX \| License: `5351` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACTIVE HEALTH CENTER, PC (NPI #1831336544)