Organization Active NPI

Life Care Chiropractic & Rehabilitation Centers

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1104927201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9761 Issued in TX
Legal business name
LIFE CARE CHIROPRACTIC & REHABILITATION CENTERS
Practice address
6065 Montana Ave Ste C9
El Paso, TX 79925-1839
Phone
(915) 881-8000
Fax
(915) 881-8108
NPI assigned
Sep 25, 2006
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
Mr. John Munoz, OWNER
Title
Owner
Phone
(915) 881-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC9761 TX Primary

Addresses

Primary practice location

6065 Montana Ave Ste C9
El Paso, TX 79925-1839

Mailing address

6065 Montana Ave Ste C9
El Paso, TX 79925-1839
Phone (915) 881-8000

National Provider Directory

National Provider Directory
Tax ID family
Care Rehabilitation Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104927201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 MONTANA AVE STE C9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251839",
            "telephone_number": "915-881-8000",
            "fax_number": "915-881-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MONTANA AVE STE C9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251839",
            "telephone_number": "915-881-8000",
            "fax_number": "915-881-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CHIROPRACTIC & REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-881-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, 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.