Organization Active NPI

Misenheimer MGMT Co

Doing business as Buda Family Chiropractic

  • Chiropractor
  • Buda, TX
National Provider Identifier
1063624138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8523 Issued in TX
Legal business name
MISENHEIMER MGMT CO
Doing business as
Buda Family Chiropractic
Practice address
1762 FM 967 Suite a
Buda, TX 78610
Phone
(512) 295-9345
Fax
(512) 295-9347
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin A Misenheimer, DC
Title
Owner
Phone
(512) 295-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8523 TX Primary

Addresses

Primary practice location

1762 FM 967 Suite a
Buda, TX 78610

Mailing address

1762 FM 967 Suite a
Buda, TX 78610
Phone (512) 295-9345

Other identifiers 1

IdentifierTypeStateIssuer
8P1080OtherTXBCBS PROVIDER NUMBER

Other names 1

  • Buda Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1762 FM 967
Ste A
Buda, TX 78610
Phone (512) 295-9345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063624138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 FM 967 SUITE A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "512-295-9345",
            "fax_number": "512-295-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 FM 967 SUITE A",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "512-295-9345",
            "fax_number": "512-295-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISENHEIMER MGMT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISENHEIMER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-295-9345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8P1080",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buda Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.