Organization Active NPI

Richard Family Chiropractic, PA

Doing business as Gonstead Chiropractic & Wellness ATX

  • Chiropractor
  • Rollingwood, TX
National Provider Identifier
1083890826
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICHARD FAMILY CHIROPRACTIC, PA
Doing business as
Gonstead Chiropractic & Wellness ATX
Practice address
3006 Bee Caves Rd Ste A300
Rollingwood, TX 78746-5541
Phone
(512) 542-9031
Fax
(512) 478-1752
NPI assigned
Jan 10, 2008
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RICHARD FAMILY CHIROPRACTIC, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Al Dean Richard, DCNPI 1184608424
Title
Owner
Phone
(512) 542-9031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

3006 Bee Caves Rd Ste A300
Rollingwood, TX 78746-5541

Mailing address

3006 Bee Caves Rd Ste A300
Rollingwood, TX 78746-5541
Phone (512) 542-9031

Other identifiers 1

IdentifierTypeStateIssuer
8U8720OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Gonstead Chiropractic & Wellness ATX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060403000306 TX Part B Supplier - Clinic/Group Practice 3476561457 Receives reassigned benefits from 1 practitioner
Practice locations: Rollingwood, TX

National Provider Directory

National Provider Directory
Part of
Richard Family Chiropractic

Locations

1613 W 6th St
Ste C
Austin, TX 78703
Phone (512) 542-9031

3006 Bee Caves Rd
Ste A300
Rollingwood, TX 78746
Phone (512) 542-9031

Practitioners & affiliated clinicians

Practitioners 4

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1083890826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE A300",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465541",
            "telephone_number": "512-542-9031",
            "fax_number": "512-478-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE A300",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "787465541",
            "telephone_number": "512-542-9031",
            "fax_number": "512-478-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD FAMILY CHIROPRACTIC, PA",
        "enumeration_date": "2008-01-10",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "AL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-542-9031",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8U8720",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Chiropractic & Wellness ATX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rollingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.