Active NPI
San Antonio Elite Chiropractic LLC
- Chiropractor
- San Antonio, TX
National Provider Identifier
1417476268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13219
- Legal business name
- SAN ANTONIO ELITE CHIROPRACTIC LLC
- Practice address
- 2397 NW Military Hwy Ste D
San Antonio, TX 78231-2543 - Phone
- (210) 342-3507
- NPI assigned
- Sep 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew James, DC
- Title
- President
- Phone
- (830) 822-2953
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13219 | TX | Primary |
Addresses
Primary practice location
2397 NW Military Hwy Ste D
San Antonio, TX 78231-2543
Mailing address
2397 NW Military Hwy Ste D
San Antonio, TX 78231-2543
Phone (210) 342-3507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13219 | Other | TX | TBCE |
| 1699122309 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2397 NW Military Hwy
Ste D
San Antonio, TX 78231
Phone (210) 342-3507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New Braunfels, TX
- NPI 1699122309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417476268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2397 NW MILITARY HWY STE D",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782312543",
"telephone_number": "210-342-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2397 NW MILITARY HWY STE D",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782312543",
"telephone_number": "210-342-3507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO ELITE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "830-822-2953",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "13219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TBCE",
"identifier": "13219",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1699122309",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- San Antonio Diabetes and Endocrinology Consultants PLLC
- San Antonio Diagnostic Imaging Inc
- San Antonio Diagnostic Imaging, Inc.
- San Antonio Digestive Disease Consultants PA
- San Antonio Downtown Dentistry, PLLC
- San Antonio Emergency Dental Care USA Inc
- San Antonio Emergency Physicians LLC
- San Antonio Endocrinology and Diabetes Care PLLC
- San Antonio Endodontic Associates PA
- San Antonio Endodontics Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.