Individual provider Active NPI

Paul Calandra, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1013199645
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10788 Issued in TX
Practice address
11230 West Ave
Suite 2207
San Antonio, TX 78213-1350
Phone
(210) 408-6446
Fax
(210) 888-8520
NPI assigned
Dec 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10788 TX Primary

Addresses

Primary practice location

11230 West Ave
Suite 2207
San Antonio, TX 78213-1350

Mailing address

11230 West Ave
Suite 2207
San Antonio, TX 78213-1350
Phone (210) 408-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000551 TX Practitioner - Chiropractic 2466525605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11230 W Ave
Suite 3203
San Antonio, TX 78213-1389
Phone (210) 408-6446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calandra Chiropractic PLLC Chiropractor CurrentSince Jun 15, 2008 Accepting new patients

Locations

11230 West Ave
Ste 2207
San Antonio, TX 78213
Phone (210) 408-6446

11230 West Ave
Ste 3203
San Antonio, TX 78213
Phone (210) 408-6446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1013199645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE",
            "address_2": "SUITE 2207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131350",
            "telephone_number": "210-408-6446",
            "fax_number": "210-888-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE",
            "address_2": "SUITE 2207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131350",
            "telephone_number": "210-408-6446",
            "fax_number": "210-888-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANDRA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.