VICTORY SPINAL CARE LUBBOCK LLC
NPI 1235940016
Chiropractor in Lubbock, TX

Active since January 20, 2025
3402 73RD ST UNIT G, LUBBOCK, TX 79423(806) 591-4498 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victory Spinal Care Lubbock Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY SPINAL CARE LUBBOCK LLC (NPI 1235940016) is a healthcare organization registered as a chiropractor in Lubbock, Texas and active in the NPI registry since January 2025. The organization lists Jered Wayland, Owner, as its authorized official.

NPPES Registry Identity

NPI1235940016
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVICTORY SPINAL CARE LUBBOCK LLC
Location Address3402 73RD ST UNIT GLubbock, TX 79423-1122
Mailing Address1424 Kurre LnCape Girardeau, MO 63701-2254 · (573) 579-5672
Organization SubpartNo
Authorized OfficialJered WaylandOwner · (573) 837-9107
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1235940016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
3402 73RD ST UNIT G, Lubbock, TX 79423

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Spinal Care Lubbock Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Victory Spinal Care Lubbock LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1174567069
3402 73RD ST UNIT G
Lubbock, TX 79423
(806) 589-2111
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Spinal Care Lubbock LLC's NPI number?

The NPI number for Victory Spinal Care Lubbock LLC is 1235940016. It was assigned to this organization in the NPPES registry on January 20, 2025.

Where is Victory Spinal Care Lubbock LLC located?

Victory Spinal Care Lubbock LLC is located at 3402 73rd St Unit G, Lubbock, TX 79423. The listed phone number is (806) 591-4498.

What is Victory Spinal Care Lubbock LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Victory Spinal Care Lubbock LLC enrolled in Medicare?

Yes. Victory Spinal Care Lubbock LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Spinal Care Lubbock LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Victory Spinal Care Lubbock LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victory Spinal Care Lubbock LLC was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.