NPIMap

Organization Active NPI

Santo Chiropractic Neurology Center, Inc.

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1356510671
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2698 Issued in TX
Legal business name
SANTO CHIROPRACTIC NEUROLOGY CENTER, INC.
Practice address
6004 S Broadway Ave
Suite # 200
Tyler, TX 75703-4423
Phone
(903) 534-7095
Fax
(903) 534-7094
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Dennis A Santo, D.C.NPI 1952412512
Title
President
Phone
(903) 534-7095

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2698 TX Primary

Addresses

Primary practice location

6004 S Broadway Ave
Suite # 200
Tyler, TX 75703-4423

Mailing address

6004 S Broadway Ave
Suite # 200
Tyler, TX 75703-4423
Phone (903) 534-7095

Other identifiers 1

IdentifierTypeStateIssuer
601005OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6004 S Broadway Ave
Ste 200
Tyler, TX 75703
Phone (903) 534-7095

Practitioners & affiliated clinicians

Practitioners 2

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": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1356510671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 S BROADWAY AVE",
            "address_2": "SUITE # 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034423",
            "telephone_number": "903-534-7095",
            "fax_number": "903-534-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 S BROADWAY AVE",
            "address_2": "SUITE # 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034423",
            "telephone_number": "903-534-7095",
            "fax_number": "903-534-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO CHIROPRACTIC NEUROLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SANTO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-534-7095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "601005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.