Active NPI
Cristin Vitek Wafer, D.C.
- Chiropractor
- Katy, TX
National Provider Identifier
1427366780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11565
- Practice address
- 505 S Mason Rd
Katy, TX 77450-2491 - Phone
- (281) 579-1116
- Fax
- (281) 579-0395
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 11565 | TX | Primary |
Addresses
Primary practice location
505 S Mason Rd
Katy, TX 77450-2491
Mailing address
505 S Mason Rd
Katy, TX 77450-2491
Phone (281) 579-1116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB114991 | Other | TX | MEDICARE INDIVIDUAL PTAN |
| 601426 | Other | TX | MEDICARE GROUP PTAN |
Other names 1
- Cristin Dianne Vitek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
707 S Fry Rd
Suite 475
Katy, TX 77450-2260
Phone (281) 579-1116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11565 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katy Chiropractic Clinic, LLC | Chiropractor | Current | Accepting new patients |
Locations
505 S Mason Rd
Katy, TX 77450
Phone (281) 579-1116
707 S Fry Rd
Ste 475
Katy, TX 77450
Phone (281) 579-1116
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.
-
- Chiropractor
- Katy, TX
- NPI 1568113645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1427366780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774502491",
"telephone_number": "281-579-1116",
"fax_number": "281-579-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774502491",
"telephone_number": "281-579-1116",
"fax_number": "281-579-0395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAFER",
"first_name": "CRISTIN",
"middle_name": "VITEK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "TXB114991",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "601426",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTIN",
"last_name": "VITEK",
"middle_name": "DIANNE",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.