Organization Active NPI

Trowbridge Chiropractic Clinic, LLC

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1306523790
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TROWBRIDGE CHIROPRACTIC CLINIC, LLC
Practice address
11200 Menchaca Rd Ste 303
Austin, TX 78748-2761
Phone
(956) 543-5829
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Tara Jane Marie Trowbridge, DC, MSNPI 1689370058
Title
Owner
Phone
(956) 543-5829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

11200 Menchaca Rd Ste 303
Austin, TX 78748-2761

Mailing address

11200 Menchaca Rd Ste 303
Austin, TX 78748-2761
Phone (956) 543-5829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231006001132 TX Part B Supplier - Clinic/Group Practice 0648625988 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

11200 Menchaca Rd
Ste 303
Austin, TX 78748
Phone (956) 543-5829

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1306523790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482761",
            "telephone_number": "956-543-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482761",
            "telephone_number": "956-543-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROWBRIDGE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "TROWBRIDGE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JANE MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-543-5829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 28, 2023; 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.