Individual provider Active NPI

Shohreh Moaveni

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1073423869
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16990 Issued in TX
Practice address
9902 Potranco Rd Ste 119
San Antonio, TX 78251-9611
Phone
(214) 916-1891
NPI assigned
Sep 11, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16990 TX Primary

Addresses

Primary practice location

9902 Potranco Rd Ste 119
San Antonio, TX 78251-9611

Mailing address

15150 Blanco Rd Apt 6115
San Antonio, TX 78232-3322
Phone (214) 916-1891

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1073423869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 BLANCO RD APT 6115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323322",
            "telephone_number": "214-916-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 POTRANCO RD STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519611",
            "telephone_number": "214-916-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAVENI",
        "first_name": "SHOHREH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.