Organization Active NPI

Impulse Inc

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1336321090
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IMPULSE INC
Practice address
9720 Datapoint Dr
Suite 101
San Antonio, TX 78229-2046
Phone
(210) 615-0110
Fax
(210) 615-9977
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Virginia Smith
Title
Biller
Phone
(888) 737-9615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9720 Datapoint Dr
Suite 101
San Antonio, TX 78229-2046

Mailing address

PO Box 40013
San Antonio, TX 78229-1013
Phone (210) 615-0110

Other identifiers 2

IdentifierTypeStateIssuer
0087DEOtherTXBCBS
81503XOtherTXBCBS

Other names 1

  • Family Health and Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

9720 Datapoint Dr
Ste 101
San Antonio, TX 78229
Phone (210) 615-0110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1336321090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40013",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291013",
            "telephone_number": "210-615-0110",
            "fax_number": "210-615-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 DATAPOINT DR",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292046",
            "telephone_number": "210-615-0110",
            "fax_number": "210-615-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPULSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "888-737-9615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0087DE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81503X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 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.