Organization Active NPI

Galli Family Chiropractic PA

  • Chiropractor
  • Boerne, TX
National Provider Identifier
1093980385
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8686 Issued in TX
Legal business name
GALLI FAMILY CHIROPRACTIC PA
Practice address
109 Falls CT
Suite 500
Boerne, TX 78006-2977
Phone
(830) 249-7858
Fax
(830) 249-6850
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Carlo Galli, D.C.NPI 1376642280
Title
Owner
Phone
(830) 249-7858

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8686 TX Primary

Addresses

Primary practice location

109 Falls CT
Suite 500
Boerne, TX 78006-2977

Mailing address

109 Falls CT
Suite 500
Boerne, TX 78006-2977
Phone (830) 249-7858

Other identifiers 1

IdentifierTypeStateIssuer
0090JKOtherTXBLUE CROSS AND BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110601000741 TX Part B Supplier - Clinic/Group Practice 1658558564 Receives reassigned benefits from 1 practitioner
Practice locations: Boerne, TX

National Provider Directory

National Provider Directory

Locations

109 Falls Ct
Ste 500
Boerne, TX 78006
Phone (830) 249-7858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1093980385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FALLS CT",
            "address_2": "SUITE 500",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062977",
            "telephone_number": "830-249-7858",
            "fax_number": "830-249-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FALLS CT",
            "address_2": "SUITE 500",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062977",
            "telephone_number": "830-249-7858",
            "fax_number": "830-249-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLI FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GALLI",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-249-7858",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "0090JK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.