Individual provider Active NPI

Gavin Lefever, DC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1215466289
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13513 Issued in TX
Practice address
911 Central Pkwy N Ste 300
San Antonio, TX 78232-5053
Phone
(800) 404-6050
Fax
(866) 313-3397
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13513 TX Primary

Addresses

Primary practice location

911 Central Pkwy N Ste 300
San Antonio, TX 78232-5053

Mailing address

911 Central Pkwy N Ste 300
San Antonio, TX 78232-5053
Phone (800) 404-6050

Other identifiers 1

IdentifierTypeStateIssuer
13513OtherTXTEXAS BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201001137 NC Practitioner - Chiropractic 8729456348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kurtz Chiropractic IncGroup PAC ID 8325063720, 3 clinicians

Practice addresses (Care Compare)

3011 Raleigh Rd Pkwy W
Wilson, NC 27896-8213
Phone (252) 234-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13513TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kurtz Chiropractic Inc Chiropractor CurrentSince Feb 25, 2025 Accepting new patients
Integrated Therapy LLC CurrentSince Aug 19, 2022 Accepting new patients

Locations

8515 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 582-7000

3011 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 234-0000

Organizations & group practices 2

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215466289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CENTRAL PKWY N STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325053",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CENTRAL PKWY N STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325053",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVER",
        "first_name": "GAVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "13513",
            "state": "TX"
        }
    ],
    "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 Jul 21, 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.