Active NPI
Bart G. Atencio, DC
- Chiropractor
- Austin, TX
National Provider Identifier
1548335359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9954
- Practice address
- 1500 West 38TH St
Suite 38
Austin, TX 78731 - Phone
- (512) 467-1100
- Fax
- (512) 467-1101
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9954 | TX | Primary |
Addresses
Primary practice location
1500 West 38TH St
Suite 38
Austin, TX 78731
Mailing address
PO Box 203968
Austin, TX 78720-3968
Phone (512) 467-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9954 | Other | TX | TX LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9954 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atx Pain Spine and Regenerative Center PLLC | Current | Accepting new patients | |
| Commons Anesthesia Specialists LLC | Current | Accepting new patients | |
| Atx Integrated Spine and Joint Specialists P.L.L.C | Current | Accepting new patients | |
| Texas Pain Consultants | Past | Accepting new patients | |
| TX Spine & Sports Therapy Ctr PLLC | Chiropractor | Past | Accepting new patients |
Locations
12501 Hymeadow Dr
Ste 1F
Austin, TX 78750
Phone (512) 917-7943
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1750050621
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1225707102
-
- Anesthesiology Physician
- Austin, TX
- NPI 1730819244
-
- Pain Medicine Physician
- Waco, TX
- NPI 1851747018
-
- Chiropractor
- Austin, TX
- NPI 1518109099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1548335359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203968",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787203968",
"telephone_number": "512-467-1100",
"fax_number": "512-467-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WEST 38TH ST",
"address_2": "SUITE 38",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-467-1100",
"fax_number": "512-467-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATENCIO",
"first_name": "BART",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "9954",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.