Organization Active NPI

Stemx of Central Texas, PLLC

Doing business as Champion Chiropratic, PC

  • Chiropractor
  • Lakeway, TX
National Provider Identifier
1548556780
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEMX OF CENTRAL TEXAS, PLLC
Doing business as
Champion Chiropratic, PC
Practice address
1310 RR 620 S.
Ste B-4
Lakeway, TX 78734-6243
Phone
(512) 263-0270
Fax
(512) 263-0276
NPI assigned
Jun 27, 2011
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Dr. Todd Lee Moore, DCNPI 1366427742
Title
Owner/President
Phone
(512) 263-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1310 RR 620 S.
Ste B-4
Lakeway, TX 78734-6243

Mailing address

1310 RR 620 S
Ste B-4
Lakeway, TX 78734-6300
Phone (512) 263-0270

Other names 1

  • Champion Chiropratic, PC Doing business as

National Provider Directory

National Provider Directory

Locations

1310 Ranch Road 620 S
Ste B4
Lakeway, TX 78734
Phone (512) 263-0270

2300 Lohmans Spur Rd
Ste 165
Lakeway, TX 78734
Phone (512) 263-0270

Practitioners & affiliated clinicians

Practitioners 2

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": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1548556780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 RR 620 S",
            "address_2": "STE B-4",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346300",
            "telephone_number": "512-263-0270",
            "fax_number": "512-263-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RR 620 S.",
            "address_2": "STE B-4",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346243",
            "telephone_number": "512-263-0270",
            "fax_number": "512-263-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEMX OF CENTRAL TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-263-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Chiropratic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.