NPIMap

Organization Active NPI

Sports and Wellness Chiropractic Solutions, L.L.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1174890347
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4490 Issued in TX
Legal business name
SPORTS AND WELLNESS CHIROPRACTIC SOLUTIONS, L.L.C.
Practice address
12701 Research Blvd
#309
Austin, TX 78759-4386
Phone
(512) 250-9799
Fax
(512) 257-3506
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Bruce Edward Mounsey, D.C.
Title
Manager
Phone
(512) 250-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4490 TX Primary

Addresses

Primary practice location

12701 Research Blvd
#309
Austin, TX 78759-4386

Mailing address

PO Box 11
MC Neil, TX 78651-0011
Phone (512) 250-9799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1174890347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "MC NEIL",
            "state": "TX",
            "postal_code": "786510011",
            "telephone_number": "512-250-9799",
            "fax_number": "512-257-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 RESEARCH BLVD",
            "address_2": "#309",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594386",
            "telephone_number": "512-250-9799",
            "fax_number": "512-257-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND WELLNESS CHIROPRACTIC SOLUTIONS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MOUNSEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-250-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4490",
            "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 Nov 16, 2011; 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.