MV Spine and Joint, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12929 Issued in TX

Legal business name

MV SPINE AND JOINT, P.A.

Practice address

703 US Highway 90 E
Suite 107
Castroville, TX 78009-5246

Phone

(830) 931-2211

Fax

(830) 538-3778

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda M Dover

Title

Practice Manager

Phone

(501) 337-6688

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dover Family Chiropractic, P.A., Medina Valley Spine and Joint, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Lee Brent Dover, DC

  • Chiropractor
  • Castroville, TX
  • NPI 1043286149
  Medicare reassignment
• Kipp Aaron Clayton, O.T.-R.

  • Occupational Therapist
  • Castroville, TX
  • NPI 1568520641
  NPD (past)
• Ernest Conrad Kothmann, DC

  • Chiropractor
  • Castroville, TX
  • NPI 1982877825
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1366614653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MIDWAY CRST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584335",
            "telephone_number": "501-337-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 US HIGHWAY 90 E",
            "address_2": "SUITE 107",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780095246",
            "telephone_number": "830-931-2211",
            "fax_number": "830-538-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MV SPINE AND JOINT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "501-337-6688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12929",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AR",
            "license": "1507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154829718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Family Chiropractic, P.A., Medina Valley Spine and Joint, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eloy Medina Medina
• Bernabe Isaac Mercado, PT, DPT
• Emily Sullivan Meyer, M.D.
• John Walter Meyer, M.D.
• Kelsey Mumme, CCC-SLP
• MVC Health & Wellness Co., LLC
• N & J Caring, LLC
• Richard L Neel, M.D.
• Mary Suzanne Nguyen, M.D.
• John B. Nixon, D.D.S.

• Chiropractor in Castroville, TX
• Providers in Castroville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.