Organization Active NPI

One Source Family Chiropractic PA

  • Chiropractor
  • San Marcos, TX
National Provider Identifier
1194852483
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F006540 Issued in TX
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

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Mrs. Sarah Jane Moreno, DCNPI 1780711077
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0078MNOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • One Source Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.