Total Spine Care & Injury Rehabilitation Center, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

7886DC Issued in TX

Legal business name

TOTAL SPINE CARE & INJURY REHABILITATION CENTER, LLC

Practice address

5403 Jackwood Dr
San Antonio, TX 78238-1809

Phone

(210) 682-3333

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Dykes ShrumNPI 1750442984

Title

Chiropractor

Phone

(210) 748-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kevin Dykes Shrum, D.C.

  • Rehabilitation Chiropractor
  • San Antonio, TX
  • NPI 1750442984
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528189982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310701",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 JACKWOOD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381809",
            "telephone_number": "210-682-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPINE CARE & INJURY REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRUM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DYKES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "210-748-7200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "7886DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBCE LIC. NO.",
            "identifier": "7886DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Sleep Diagnostic, Inc.
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• Total Sleep Holdings (Sleep Ave)
• Total Sleep Holdings (Sleep Ave)
• Total Wound Specialists, P.a.
• Totalcare Comprehensive Home Health Supply, LTD. (TotalCare)
• Tracey L Toten, MD
• Christine Toth, MD
• Yvette Vee Toth, RN

• Rehabilitation Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.