Individual provider Active NPI

Enrique Davila Jr.

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1427715119
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14942 Issued in TX
Practice address
5656 Bee Caves Rd Ste C102
West Lake Hills, TX 78746-5281
Phone
(512) 770-6068
NPI assigned
Nov 17, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14942 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste C102
West Lake Hills, TX 78746-5281

Mailing address

3005 Cottonweed TRL
Cedar Park, TX 78613-5562

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 214-212-6205 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14942TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Aqua Project LLC Chiropractor CurrentSince Nov 21, 2021 Accepting new patients
Arete Networks of Texas LLC PastSince Nov 21, 2021 Accepting new patients

Locations

5656 Bee Caves Rd
Ste C102
West Lake Hills, TX 78746
Phone (512) 770-6068

Interoperability endpoints

  • Direct secure messaging: enrique.davila.1@29676.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1427715119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 COTTONWEED TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE C102",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465281",
            "telephone_number": "512-770-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "ENRIQUE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "214-212-6205",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Austin",
            "address_1": "3005 Cottonweed Trl",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786135562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 17, 2021; 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.