Individual provider Active NPI

Katrina Renee Flores, D.C

  • Chiropractor
  • Del Rio, TX
National Provider Identifier
1013314582
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12785 Issued in TX
Practice address
707 E 17TH St
Suite C
Del Rio, TX 78840-7863
Phone
(830) 214-7879
NPI assigned
Nov 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12785 TX Primary

Addresses

Primary practice location

707 E 17TH St
Suite C
Del Rio, TX 78840-7863

Mailing address

707 E 17TH St
Suite C
Del Rio, TX 78840-7863
Phone (830) 214-7879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001768 TX Practitioner - Chiropractic 5597081190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Rio's Chiro Connection PLLCGroup PAC ID 9436475035, 2 clinicians

Practice addresses (Care Compare)

501 W Cantu Rd
Suite 500
Del Rio, TX 78840-3073
Phone (830) 214-7879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12785TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Del Rio's Chiro Connection PLLC Chiropractor CurrentSince Jan 1, 2015 Accepting new patients

Locations

501 W Cantu Rd
Ste 500
Del Rio, TX 78840
Phone (830) 214-7879

707 E 17th St
Ste C
Del Rio, TX 78840
Phone (830) 214-7879

707 E 17th St
Ste Bc
Del Rio, TX 78840

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1013314582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E 17TH ST",
            "address_2": "SUITE C",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407863",
            "telephone_number": "830-214-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E 17TH ST",
            "address_2": "SUITE C",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407863",
            "telephone_number": "830-214-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KATRINA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-29",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.