Organization Active NPI

Pat Booker Chiropractic Center Inc

  • Chiropractor
  • Live Oak, TX
National Provider Identifier
1518183128
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4290 Issued in TX
Legal business name
PAT BOOKER CHIROPRACTIC CENTER INC
Practice address
8334 Pat Booker Rd
Live Oak, TX 78233-2410
Phone
(210) 599-0099
Fax
(210) 599-0608
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. George Rodriguez, D.C.NPI 1083674188
Title
Ceo
Phone
(210) 599-0099

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 DC4290 TX Primary

Addresses

Primary practice location

8334 Pat Booker Rd
Live Oak, TX 78233-2410

Mailing address

8334 Pat Booker Rd
Live Oak, TX 78233-2410
Phone (210) 599-0099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000273 TX Part B Supplier - Clinic/Group Practice 0143483966 Receives reassigned benefits from 1 practitioner
Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

Locations

8334 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 599-0099

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1518183128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 PAT BOOKER RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332410",
            "telephone_number": "210-599-0099",
            "fax_number": "210-599-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8334 PAT BOOKER RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332410",
            "telephone_number": "210-599-0099",
            "fax_number": "210-599-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT BOOKER CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-599-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.