Active NPI
John Buoniconti, D.C
- Chiropractor
- San Antonio, TX
National Provider Identifier
1255792933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13164
- Practice address
- 1935 Broken Oak St
Unit 103
San Antonio, TX 78232-3100 - Phone
- (847) 271-7612
- NPI assigned
- Mar 9, 2016
- Last updated
- Mar 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13164 | TX | Primary |
Addresses
Primary practice location
1935 Broken Oak St
Unit 103
San Antonio, TX 78232-3100
Mailing address
1935 Broken Oak Street
Unit 103
San Antonio, TX 78232
Phone (847) 271-7612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13164 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1255792933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 BROKEN OAK STREET",
"address_2": "UNIT 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "847-271-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 BROKEN OAK ST",
"address_2": "UNIT 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323100",
"telephone_number": "847-271-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONICONTI",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13164",
"primary": true
}
],
"identifiers": [],
"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 Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.