Colonies North Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8684 Issued in TX

Legal business name

COLONIES NORTH CHIROPRACTIC CLINIC

Practice address

3740 Colony Dr
Suite 150
San Antonio, TX 78230-2234

Phone

(210) 699-8153

Fax

(210) 699-8299

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Larry M Fenton Jr., DC

Title

Owner

Phone

(210) 699-8153

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Craig White, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1104937648
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1245412899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302234",
            "telephone_number": "210-699-8153",
            "fax_number": "210-699-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302234",
            "telephone_number": "210-699-8153",
            "fax_number": "210-699-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIES NORTH CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-699-8153",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0076MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Colon
• Marie Colon
• Miranda Colon
• Rosayrie Colon, LVN
• Colonial Home Health, Inc.
• Elizabeth Alice Colonna, MD
• Colorectal Surgery Services, PLLC
• Shelby Anne Colsten
• Adrienne Winifred Colston, PA
• Denise Marie Colton

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.