Organization Active NPI

Fabry Family Chiropractic PC

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1205958311
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FABRY FAMILY CHIROPRACTIC PC
Practice address
505 E Palm Valley Blvd
Suite 240
Round Rock, TX 78664-3041
Phone
(512) 310-7177
Fax
(512) 246-0045
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Jeremiah D Fabry, DC
Title
Owner
Phone
(512) 310-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X TX Primary

Addresses

Primary practice location

505 E Palm Valley Blvd
Suite 240
Round Rock, TX 78664-3041

Mailing address

505 E Palm Valley Blvd
Suite 240
Round Rock, TX 78664-3041
Phone (512) 310-7177

Other names 1

  • The Pool of Bethesda Family Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

208 W Bagdad Ave
Ste 4
Round Rock, TX 78664
Phone (512) 310-7177

Practitioners & affiliated clinicians

Practitioners 2

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1205958311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E PALM VALLEY BLVD",
            "address_2": "SUITE 240",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643041",
            "telephone_number": "512-310-7177",
            "fax_number": "512-246-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E PALM VALLEY BLVD",
            "address_2": "SUITE 240",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643041",
            "telephone_number": "512-310-7177",
            "fax_number": "512-246-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRY FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "FABRY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-310-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pool of Bethesda Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.