Individual provider Active NPI

Sandra Garciaquintana, DC

  • Chiropractor
  • Harlingen, TX
National Provider Identifier
1215018551
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8171 Issued in TX
Practice address
1001 E Tyler Ave
Harlingen, TX 78550-7135
Phone
(956) 423-2000
Fax
(956) 423-4441
NPI assigned
Oct 17, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8171 TX Primary

Addresses

Primary practice location

1001 E Tyler Ave
Harlingen, TX 78550-7135

Mailing address

1001 E Tyler Ave
Harlingen, TX 78550-7135
Phone (956) 423-2000

Other identifiers 4

IdentifierTypeStateIssuer
721568050OtherTXTAX ID
142961501MedicaidTX
0045GSOtherTNBCBS
8B5620OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000719 TX Practitioner - Chiropractic 8921017724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8171TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
C.C.I. Therapy Counseling Centers International Current Accepting new patients
Cci Therapy -Counseling Centers International Chiropractor CurrentSince Apr 17, 2019 Accepting new patients
Jason Evan MD PA Current Accepting new patients

Locations

908 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 572-0100

1001 E Tyler Ave
Harlingen, TX 78550
Phone (239) 404-6641

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1215018551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507135",
            "telephone_number": "956-423-2000",
            "fax_number": "956-423-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507135",
            "telephone_number": "956-423-2000",
            "fax_number": "956-423-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIAQUINTANA",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "721568050",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142961501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045GS",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B5620",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.