Organization Active NPI

Kaiser Medical Management, LLC

Doing business as Southtexas Spine & Joint Institute

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1558566018
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KAISER MEDICAL MANAGEMENT, LLC
Doing business as
Southtexas Spine & Joint Institute
Practice address
16111 San Pedro Ave Ste 109
San Antonio, TX 78232-3062
Phone
(210) 545-7000
Fax
(210) 545-1177
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. David R Kaiser, DC
Title
Owner
Phone
(210) 545-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

16111 San Pedro Ave Ste 109
San Antonio, TX 78232-3062

Mailing address

16111 San Pedro Ave Ste 109
San Antonio, TX 78232-3062
Phone (210) 545-7000

Other identifiers 1

IdentifierTypeStateIssuer
0063EZOtherTXBCBS

Other names 1

  • Southtexas Spine & Joint Institute Doing business as

National Provider Directory

National Provider Directory

Locations

16111 San Pedro Ave
Ste 109
San Antonio, TX 78232
Phone (210) 545-7000

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1558566018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 SAN PEDRO AVE STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323062",
            "telephone_number": "210-545-7000",
            "fax_number": "210-545-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SAN PEDRO AVE STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323062",
            "telephone_number": "210-545-7000",
            "fax_number": "210-545-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-545-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0063EZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southtexas Spine & Joint Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 2010; 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.