Thrive Chiropractic Center LL

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12703 Issued in TX

Legal business name

THRIVE CHIROPRACTIC CENTER LL

Practice address

15501 Ranch Road 620 N
Suite 1200
Austin, TX 78717-5207

Phone

(512) 808-8215

NPI assigned

Dec 3, 2014

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cory R Ellerbroek, D.C.

Title

Owner

Phone

(319) 750-1624

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1588061758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 RANCH ROAD 620 N",
            "address_2": "SUITE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175207",
            "telephone_number": "512-808-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 RANCH ROAD 620 N",
            "address_2": "SUITE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175207",
            "telephone_number": "512-808-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC CENTER LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "ELLERBROEK",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-750-1624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.