Individual provider Active NPI

Bart G. Atencio, DC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1548335359
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9954 Issued in TX
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

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9954OtherTXTX 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
9954TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.