Individual provider Active NPI

Eric Wu

  • Chiropractor
  • Austin, TX
National Provider Identifier
1235489568
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12096 Issued in TX
Practice address
13740 N Hwy 183
Ste L4
Austin, TX 78750
Phone
(512) 436-3798
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12096 TX Primary
Rehabilitation Chiropractor 111NR0400X 12096 TX

Addresses

Primary practice location

13740 N Hwy 183
Ste L4
Austin, TX 78750

Mailing address

13740 N Hwy 183
Ste L4
Austin, TX 78750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414000781 TX Practitioner - Chiropractic 7315312873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12096TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Integrated Medical PLLC CurrentSince Mar 1, 2023 Accepting new patients
Comprehensive Injury Treatment Services PLLC PastSince Mar 1, 2023 Accepting new patients

Locations

518 N Hewitt Dr
Ste A
Hewitt, TX 76643

1139 N Loop 340
Waco, TX 76705
Phone (254) 799-8343

5000 W Waco Dr
Waco, TX 76710
Phone (254) 537-1064

Interoperability endpoints

  • Direct secure messaging: ericwu.wuchiropractic@148224.advancedmd-direct.com

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1235489568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 N HWY 183",
            "address_2": "STE L4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 N HWY 183",
            "address_2": "STE L4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-436-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12096",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "12096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.