Organization Active NPI

Robert Wetz Chiropractic Clinic PA

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1528245891
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6130 Issued in TX
Legal business name
ROBERT WETZ CHIROPRACTIC CLINIC PA
Practice address
1583 Thousand Oaks Dr
Suite # 127
San Antonio, TX 78232-2294
Phone
(210) 545-2225
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mrs. Debra Wetz
Title
Administrator
Phone
(210) 545-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6130 TX Primary

Addresses

Primary practice location

1583 Thousand Oaks Dr
Suite # 127
San Antonio, TX 78232-2294

Mailing address

1583 Thousand Oaks Dr
Suite # 127
San Antonio, TX 78232-2294
Phone (210) 545-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000371 TX Part B Supplier - Clinic/Group Practice 2163684747 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1583 Thousand Oaks Dr
Ste 127
San Antonio, TX 78232
Phone (210) 545-2225

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1528245891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR",
            "address_2": "SUITE # 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322294",
            "telephone_number": "210-545-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR",
            "address_2": "SUITE # 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322294",
            "telephone_number": "210-545-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WETZ CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WETZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-545-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.