Active NPI
Mayfield Chiropractic
- Chiropractor
- Ingleside, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6561
- Legal business name
- MAYFIELD CHIROPRACTIC
- Practice address
- 2168 Hwy 361
Ingleside, TX 78362 - Phone
- (361) 776-0030
- Fax
- (361) 776-0731
- NPI assigned
- Oct 10, 2006
- Last updated
- Jan 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwayne Allen Kubecka, D.C.
- Title
- Chiropractor
- Phone
- (361) 776-0030
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC6561 | TX | Primary |
Addresses
Primary practice location
2168 Hwy 361
Ingleside, TX 78362
Mailing address
2168 Hwy 361
Ingleside, TX 78362
Phone (361) 776-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091PZ | Other | TX | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Mayfield Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Ingleside, TX
- NPI 1922279702
Locations
2168 State Highway 361
Ingleside, TX 78362
Phone (361) 776-0030
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.
-
- Chiropractor
- Ingleside, TX
- NPI 1386835122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1356438295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 HWY 361",
"city": "INGLESIDE",
"state": "TX",
"postal_code": "78362",
"telephone_number": "361-776-0030",
"fax_number": "361-776-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 HWY 361",
"city": "INGLESIDE",
"state": "TX",
"postal_code": "78362",
"telephone_number": "361-776-0030",
"fax_number": "361-776-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFIELD CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "KUBECKA",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "361-776-0030",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC6561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0091PZ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ingleside, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.