Individual provider Active NPI

Thor Cord Woerner, DC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1184140485
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13496 Issued in TX
Practice address
434 N Loop 1604 W Ste 2104
San Antonio, TX 78232-1374
Phone
(210) 343-5209
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13496 TX Primary

Addresses

Primary practice location

434 N Loop 1604 W Ste 2104
San Antonio, TX 78232-1374

Mailing address

434 N Loop 1604 W Ste 2104
San Antonio, TX 78232-1374
Phone (210) 343-5209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026002169 TX Practitioner - Chiropractic 2961778576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

434 N Loop 1604
Suite 2104
San Antonio, TX 78232-1374
Phone (210) 343-5209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13496TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authority Chiropractic LLC Chiropractor CurrentSince Oct 10, 2017 Accepting new patients

Locations

434 N Loop 1604 W
Ste 2104
San Antonio, TX 78232
Phone (210) 343-5209

19141 Stone Oak Pkwy
Ste 506
San Antonio, TX 78258
Phone (210) 343-5209

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1184140485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 N LOOP 1604 W STE 2104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321374",
            "telephone_number": "210-343-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N LOOP 1604 W STE 2104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321374",
            "telephone_number": "210-343-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "THOR",
        "middle_name": "CORD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13496",
            "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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.