Organization Active NPI

Sitzmann Chiropractic Clinic, PA

  • Chiropractor
  • Georgetown, TX
National Provider Identifier
1396949384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8535 Issued in TX
Legal business name
SITZMANN CHIROPRACTIC CLINIC, PA
Practice address
2502A Williams Dr
Georgetown, TX 78628-3250
Phone
(512) 931-1983
Fax
(512) 868-2811
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chad M Sitzamnn, D.C.
Title
President
Phone
(512) 931-1983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8535 TX Primary

Addresses

Primary practice location

2502A Williams Dr
Georgetown, TX 78628-3250

Mailing address

2502A Williams Dr
Georgetown, TX 78628-3250
Phone (512) 931-1983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000763 TX Part B Supplier - Clinic/Group Practice 0749205300 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

2502 Williams Dr
Ste A
Georgetown, TX 78628
Phone (512) 563-8899

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396949384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502A WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283250",
            "telephone_number": "512-931-1983",
            "fax_number": "512-868-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502A WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283250",
            "telephone_number": "512-931-1983",
            "fax_number": "512-868-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITZMANN CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SITZAMNN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-931-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.