Mission Chiropractic and Injury Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6997 Issued in TX

Legal business name

MISSION CHIROPRACTIC AND INJURY CLINIC, P.A.

Practice address

7330 San Pedro Ave Ste 120
San Antonio, TX 78216-6236

Phone

(210) 342-4000

Fax

(210) 342-4181

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven W Grimm, D.C.NPI 1720155526

Title

Chiropractor

Phone

(210) 342-4000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Wayne Grimm, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1720155526
  Medicare reassignment NPD Authorized official
• John Anthony Mireles III, D.C.

  • Chiropractor
  • Jbsa Lackland Afb, TX
  • NPI 1952425530
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1013035682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166236",
            "telephone_number": "210-342-4000",
            "fax_number": "210-342-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166236",
            "telephone_number": "210-342-4000",
            "fax_number": "210-342-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CHIROPRACTIC AND INJURY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "210-342-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2664613",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F4900",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC6997",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asish C Misra, MD
• Sanjay Misra, M.D.
• Vinayak Misra
• Kristin Missimer, DO
• Mission Anesthesia, PLLC
• Mission City Chiropractic
• Mission City Counseling
• Mission City Healthcare, PA
• Mission City Urology, PLLC
• Mission Dermatopathology Laboratory, LLC

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.