Organization Active NPI

Family Chiropractic Center, Inc.

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1407942832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2383 Issued in TX
Legal business name
FAMILY CHIROPRACTIC CENTER, INC.
Practice address
4201 Bee Cave Rd
Suite C212
West Lake Hills, TX 78746-6465
Phone
(512) 347-8033
Fax
(512) 347-8034
NPI assigned
Oct 5, 2006
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
Mark Sanders, D.C.NPI 1326014515
Title
President
Phone
(512) 347-8033

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 2383 TX Primary

Addresses

Primary practice location

4201 Bee Cave Rd
Suite C212
West Lake Hills, TX 78746-6465

Mailing address

4201 Bee Cave Rd
Suite C212
West Lake Hills, TX 78746-6465
Phone (512) 347-8033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000181 TX Part B Supplier - Clinic/Group Practice 2062595051 Receives reassigned benefits from 2 practitioners
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407942832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE C212",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-347-8033",
            "fax_number": "512-347-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE C212",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-347-8033",
            "fax_number": "512-347-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-347-8033",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, 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.