Tracie L Schwab, D.C.

Individual provider Active NPI Chiropractor · Cedar Park, TX

NPI 1043362858 · NPPES record last updated Oct 22, 2020

Key facts

NPI
1043362858
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
8590 (TX)
Practice address
3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone
(512) 363-5178
Fax
(512) 339-2994
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3109 Kenai Dr
Suite 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040707000890 TX Practitioner - Chiropractic 0648257972 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8590TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tracie L Schwab DC PA Chiropractor Current
since Oct 1, 2002
Accepting new patients
Cove Freedom Chiropractic Chiropractor Past Accepting new patients
Isdale Chiropractic Clinic of Copperas Cove Chiropractor Past Accepting new patients
Kristy L Clinton DC PA Chiropractor Past Accepting new patients
Emily Doubt Chiropractic PLLC Chiropractor Past
since Sep 3, 2013
Accepting new patients

Locations

3951 W Parmer Ln
Ste 300
Austin, TX 78727
Phone (512) 339-2663

12101 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 363-5178

3109 Kenai Dr
Ste 101
Cedar Park, TX 78613
Phone (512) 363-5178

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8590 TX Yes

Addresses

Primary practice location

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540

Mailing address

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address BILLING@BACKBONECP.COM Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2020.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1043362858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "TRACIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BILLING@BACKBONECP.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BUSINESS EMAIL",
            "address_1": "3109 Kenai Dr Ste 101",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786132540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

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Sources for this page

Verify at the official NPI Registry.