A-Sun Natural Health Center, LTD.
Organization Active NPI Chiropractor · Georgetown, TX
NPI 1508970336 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1508970336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5101 (TX)
- Legal business name
- A-SUN NATURAL HEALTH CENTER, LTD.
- Practice address
- 1911 N Austin Ave Ste 405
Georgetown, TX 78626-4543 - Phone
- (512) 869-9811
- Fax
- (512) 366-9902
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- David W. Loper, DC
- Title
- Pres/Treas./Provider
- Phone
- (512) 869-9811
Practitioners 1
-
David W. Loper, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090120000523 | TX | Part B Supplier - Clinic/Group Practice | 0446313399 |
Receives reassigned benefits from 1 practitioner Practice locations: Georgetown, TX |
National Provider Directory
Locations
1911 N Austin Ave
Ste 405
Georgetown, TX 78626
Phone (512) 869-8867
1627 Williams Dr
Ste 102B
Georgetown, TX 78628
Phone (512) 863-2786
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5101 | TX | Yes |
Addresses
Primary practice location
1911 N Austin Ave Ste 405
Georgetown, TX 78626-4543
Mailing address
4219 Williams Dr
Georgetown, TX 78628-1337
Phone (512) 863-2786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AJ135 | Other | TX | BLUE CROSS / BLUE SHIELD |
| 0A0286 | Other | TX | MEDICARE PTAN |
Other names
- D.Loper Chiropractic
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.