Active NPI
Dina Anid Deleon, D.C.
- Chiropractor
- Victoria, TX
National Provider Identifier
1417094376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10030
- Practice address
- 1210 E Mockingbird LN
Victoria, TX 77904-2141 - Phone
- (361) 570-5700
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10030 | TX | Primary |
Addresses
Primary practice location
1210 E Mockingbird LN
Victoria, TX 77904-2141
Mailing address
1210 E Mockingbird LN
Victoria, TX 77904-2141
Phone (361) 570-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070917000765 | TX | Practitioner - Chiropractic | 6901990282 | Practice locations: Victoria, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Wellness Center, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1417346206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1417094376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 E MOCKINGBIRD LN",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042141",
"telephone_number": "361-570-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 E MOCKINGBIRD LN",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042141",
"telephone_number": "361-570-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "DINA",
"middle_name": "ANID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.