Active NPI
One Source Family Chiropractic PA
- Chiropractor
- San Marcos, TX
National Provider Identifier
1194852483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F006540
- Legal business name
- ONE SOURCE FAMILY CHIROPRACTIC PA
- Practice address
- 132 Jackson LN
San Marcos, TX 78666-7222 - Phone
- (512) 392-5750
- Fax
- (512) 392-5320
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah Jane Moreno, DC
- Title
- Owner Chiropractor
- Phone
- (512) 392-5750
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F006540 | TX | Primary |
Addresses
Primary practice location
132 Jackson LN
San Marcos, TX 78666-7222
Mailing address
132 Jackson LN
San Marcos, TX 78666-7222
Phone (512) 392-5750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078MN | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- One Source Family Chiropractic
National Provider Directory
National Provider DirectoryLocations
705 W Hopkins St
Ste 100
San Marcos, TX 78666
Phone (512) 392-5750
1205 N State Highway 123
Ste 101
San Marcos, TX 78666
Phone (512) 392-5750
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Marcos, TX
- NPI 1780711077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1194852483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 JACKSON LN",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667222",
"telephone_number": "512-392-5750",
"fax_number": "512-392-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 JACKSON LN",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667222",
"telephone_number": "512-392-5750",
"fax_number": "512-392-5320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SOURCE FAMILY CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OWNER CHIROPRACTOR",
"authorized_official_telephone_number": "512-392-5750",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "F006540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0078MN",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "One Source Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.