Organization Active NPI

Full Life Chiropractic PLLC

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1437517430
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12812 Issued in TX
Legal business name
FULL LIFE CHIROPRACTIC PLLC
Practice address
3355 Bee Caves Rd
Suite 603
West Lake Hills, TX 78746-6775
Phone
(512) 629-5127
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Andrew Paul Barclay Newell, D.CNPI 1225436728
Title
Owner/Principal
Phone
(512) 629-5127

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 12812 TX Primary

Addresses

Primary practice location

3355 Bee Caves Rd
Suite 603
West Lake Hills, TX 78746-6775

Mailing address

3355 Bee Caves Rd
Suite 603
West Lake Hills, TX 78746-6775
Phone (512) 629-5127

Other identifiers 1

IdentifierTypeStateIssuer
1225436728OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509001165 TX Part B Supplier - Clinic/Group Practice 4688973936 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3355 Bee Caves Rd
Ste 603
West Lake Hills, TX 78746
Phone (512) 629-5127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1437517430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD",
            "address_2": "SUITE 603",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466775",
            "telephone_number": "512-629-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD",
            "address_2": "SUITE 603",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466775",
            "telephone_number": "512-629-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PAUL BARCLAY",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "512-629-5127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225436728",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Feb 4, 2016; 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.

Verify at the official NPI Registry.