Organization Active NPI

CCT Chiropractic Centers of Texas at Alamo Heights

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1144474982
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7325 Issued in TX
Legal business name
CCT CHIROPRACTIC CENTERS OF TEXAS AT ALAMO HEIGHTS
Practice address
147 W Sunset Rd
Suite 101
San Antonio, TX 78209-2676
Phone
(210) 828-2665
Fax
(210) 826-2661
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Harold F Puhl III, D.C.NPI 1497791560
Title
Owner
Phone
(210) 828-2665

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 7325 TX Primary

Addresses

Primary practice location

147 W Sunset Rd
Suite 101
San Antonio, TX 78209-2676

Mailing address

147 W Sunset Rd
Suite 101
San Antonio, TX 78209-2676
Phone (210) 828-2665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323002566 TX Part B Supplier - Clinic/Group Practice 1254638968 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

147 W Sunset Rd
Ste 101
San Antonio, TX 78209
Phone (210) 824-3391

Practitioners & affiliated clinicians

Practitioners 1

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1144474982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W SUNSET RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092676",
            "telephone_number": "210-828-2665",
            "fax_number": "210-826-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W SUNSET RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092676",
            "telephone_number": "210-828-2665",
            "fax_number": "210-826-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCT CHIROPRACTIC CENTERS OF TEXAS AT ALAMO HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PUHL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-828-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7325",
            "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 Mar 22, 2016; 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.