NPIMap

Organization Active NPI

Medina Valley Spine and Joint, LLC

  • Chiropractor
  • Castroville, TX
National Provider Identifier
1023282811
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6704 Issued in TX
Legal business name
MEDINA VALLEY SPINE AND JOINT, LLC
Practice address
209 US Highway 90 W
Suite 2
Castroville, TX 78009-4540
Phone
(830) 931-2211
Fax
(830) 538-3778
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Ernest Conrad Kothmann, DC
Title
Managing Member
Phone
(830) 931-2211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC6704 TX Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 109851 TX

Addresses

Primary practice location

209 US Highway 90 W
Suite 2
Castroville, TX 78009-4540

Mailing address

209 US Highway 90 W
Suite 2
Castroville, TX 78009-4540
Phone (830) 931-2211

National Provider Directory

National Provider Directory

Locations

703 US Highway 90 E
Ste 107
Castroville, TX 78009
Phone (830) 931-2211

209 US Highway 90 W
Ste 2
Castroville, TX 78009
Phone (830) 741-6338

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1023282811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 US HIGHWAY 90 W",
            "address_2": "SUITE 2",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094540",
            "telephone_number": "830-931-2211",
            "fax_number": "830-538-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 US HIGHWAY 90 W",
            "address_2": "SUITE 2",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094540",
            "telephone_number": "830-931-2211",
            "fax_number": "830-538-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA VALLEY SPINE AND JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "KOTHMANN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "830-931-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6704",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.