Organization Active NPI

Victoria Chiropractic Clinic PLLC

  • Chiropractor
  • Victoria, TX
National Provider Identifier
1497955181
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9159DC Issued in TX
Legal business name
VICTORIA CHIROPRACTIC CLINIC PLLC
Practice address
2004 Patterson Dr
Victoria, TX 77901-5645
Phone
(361) 578-9966
Fax
(361) 578-9997
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. Lonnie Ray Franka Jr., DCNPI 1831265230
Title
Owner
Phone
(361) 578-9966

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 9159DC TX Primary

Addresses

Primary practice location

2004 Patterson Dr
Victoria, TX 77901-5645

Mailing address

2004 Patterson Dr
Victoria, TX 77901-5645
Phone (361) 578-9966

Other identifiers 6

IdentifierTypeStateIssuer
OO18NEOtherTXBLUE CROSS/BLUE SHIELD GR
OOW236OtherMEDICARE GROUP
U92760OtherTXUPIN
8F2466OtherTXBLUE CROSS/BLUE SHIELD IN
182380901OtherMEDICAID INDIVIDUAL
1823791-01MedicaidTX

Other names 1

  • Victoria Chiropractic Clinic PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000578 TX Part B Supplier - Clinic/Group Practice 9335155647 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

2004 Patterson Dr
Victoria, TX 77901
Phone (361) 576-3060

Practitioners & affiliated clinicians

Practitioners 1

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1497955181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 PATTERSON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015645",
            "telephone_number": "361-578-9966",
            "fax_number": "361-578-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 PATTERSON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015645",
            "telephone_number": "361-578-9966",
            "fax_number": "361-578-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "FRANKA",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-578-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9159DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD GR",
            "identifier": "OO18NE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "OOW236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U92760",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD IN",
            "identifier": "8F2466",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "182380901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1823791-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Chiropractic Clinic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.