Individual provider Active NPI

Cynthia M Airhart, D.C.

  • Chiropractor
  • Victoria, TX
National Provider Identifier
1245258375
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7155TX Issued in TX
Practice address
3506 Sam Houston Dr
Victoria, TX 77904-2233
Phone
(361) 579-9325
Fax
(361) 579-9328
NPI assigned
Jul 17, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7155TX TX Primary

Addresses

Primary practice location

3506 Sam Houston Dr
Victoria, TX 77904-2233

Mailing address

3506 Sam Houston Dr
Victoria, TX 77904-2233
Phone (361) 579-9325

Other identifiers 2

IdentifierTypeStateIssuer
0387680-02MedicaidTX
606244OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000207 TX Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6103089925 Practice locations: Victoria, TX

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3506 Sam Houston Dr
Victoria, TX 77904-2233
Phone (361) 579-9325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7155TXTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients
C M a Services Chiropractor Past Accepting new patients

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1245258375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042233",
            "telephone_number": "361-579-9325",
            "fax_number": "361-579-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042233",
            "telephone_number": "361-579-9325",
            "fax_number": "361-579-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIRHART",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7155TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387680-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "606244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.