Individual provider Active NPI

Dagbjoert Lilja Magnusdottir, DC

  • Sports Physician Chiropractor
  • Austin, TX
National Provider Identifier
1043198690
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
16616 Issued in TX
Practice address
4630 W Gate Blvd Ste 200
Austin, TX 78745-1411
Phone
(512) 944-3050
Fax
(877) 828-0076
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 16616 TX Primary

Addresses

Primary practice location

4630 W Gate Blvd Ste 200
Austin, TX 78745-1411

Mailing address

10500 Abana Way
Austin, TX 78748-3201
Phone (512) 944-3050

Other practice location 1

12400 Amherst Dr Ste 118
Austin, TX 78727-5322
Phone (512) 944-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16616TXMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1043198690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ABANA WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483201",
            "telephone_number": "512-944-3050",
            "fax_number": "877-828-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 W GATE BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451411",
            "telephone_number": "512-944-3050",
            "fax_number": "877-828-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 Amherst Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787275322",
            "country_code": "US",
            "telephone_number": "512-944-3050",
            "fax_number": "877-828-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUSDOTTIR",
        "first_name": "DAGBJOERT",
        "middle_name": "LILJA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "16616",
            "primary": true
        }
    ],
    "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 Aug 22, 2025; 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.