Organization Active NPI

American Chiropractic Clinic - Austin LLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1003141078
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2757 Issued in TX
Legal business name
AMERICAN CHIROPRACTIC CLINIC - AUSTIN LLC
Practice address
4210 Spicewood Springs Rd Ste 205
Austin, TX 78759-8654
Phone
(512) 346-5567
Fax
(512) 231-1087
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Krystle Michelle Russo
Title
Manager
Phone
(512) 680-6479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2757 TX Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X 2757 TX

Addresses

Primary practice location

4210 Spicewood Springs Rd Ste 205
Austin, TX 78759-8654

Mailing address

4210 Spicewood Springs Rd Ste 205
Austin, TX 78759-8654
Phone (512) 346-5567

National Provider Directory

National Provider Directory

Locations

7800 N Mopac Expy
Ste 112
Austin, TX 78759
Phone (512) 346-5567

4210 Spicewood Springs Rd
Ste 205
Austin, TX 78759
Phone (512) 346-5567

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1003141078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 SPICEWOOD SPRINGS RD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598654",
            "telephone_number": "512-346-5567",
            "fax_number": "512-231-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SPICEWOOD SPRINGS RD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598654",
            "telephone_number": "512-346-5567",
            "fax_number": "512-231-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CHIROPRACTIC CLINIC - AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-680-6479"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2757",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "2757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.