NPIMap

Organization Active NPI

Canavan Center Chiropractic Health Clinic

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1427241306
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CANAVAN CENTER CHIROPRACTIC HEALTH CLINIC
Practice address
8647 Wurzbach Rd
BLDG H
San Antonio, TX 78240-1296
Phone
(210) 641-6355
Fax
(210) 641-7009
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Carmen N Carlile, D.C.NPI 1316056435
Title
Owner
Phone
(210) 641-6355

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 Primary

Addresses

Primary practice location

8647 Wurzbach Rd
BLDG H
San Antonio, TX 78240-1296

Mailing address

8647 Wurzbach Road
BLDG H
San Antonio, TX 78240
Phone (210) 641-6355

Other identifiers 3

IdentifierTypeStateIssuer
608581OtherTXBLUE CROSS/BLUE SHIELD
8H0000OtherTXBLUE CROSS/BLUE SHIELD
8H0001OtherTXBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8647 Wurzbach Rd
Bldg H
San Antonio, TX 78240
Phone (210) 641-6355

Practitioners & affiliated clinicians

Practitioners 3

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1427241306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH ROAD",
            "address_2": "BLDG H",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-641-6355",
            "fax_number": "210-641-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH RD",
            "address_2": "BLDG H",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401296",
            "telephone_number": "210-641-6355",
            "fax_number": "210-641-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAVAN CENTER CHIROPRACTIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-641-6355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "608581",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8H0000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8H0001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.