NPIMap

Organization Active NPI

Fedesna Chiropractic Clinic

  • Chiropractor
  • Austin, TX
National Provider Identifier
1174773634
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2434 Issued in TX
Legal business name
FEDESNA CHIROPRACTIC CLINIC
Practice address
8740 N Lamar Blvd.
Austin, TX 78753-5440
Phone
(512) 835-1182
Fax
(512) 835-1888
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Thomas Raymond Fedesna, D.C.NPI 1154462620
Title
Owner
Phone
(512) 835-1182

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 2434 TX Primary

Addresses

Primary practice location

8740 N Lamar Blvd.
Austin, TX 78753-5440

Mailing address

8740 N Lamar Blvd.
Austin, TX 78753-5440
Phone (512) 835-1182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1174773634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N LAMAR BLVD.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535440",
            "telephone_number": "512-835-1182",
            "fax_number": "512-835-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N LAMAR BLVD.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535440",
            "telephone_number": "512-835-1182",
            "fax_number": "512-835-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDESNA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "FEDESNA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-835-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.