Organization Active NPI

Sa Chiropractic Clinic,LLC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1639212079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SA CHIROPRACTIC CLINIC,LLC
Practice address
5407 Bandera Rd Ste 110
San Antonio, TX 78238-1961
Phone
(210) 256-0599
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Buffie Rome
Title
Business Office Manager
Phone
(504) 467-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5407 Bandera Rd Ste 110
San Antonio, TX 78238-1961

Mailing address

1919 Veterans Boulevard
Suite 200
Kenner, LA 70062

Other names 1

  • Leon Valley Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5407 Bandera Rd
Ste 110
San Antonio, TX 78238
Phone (210) 256-0599

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639212079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS BOULEVARD",
            "address_2": "SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 BANDERA RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381961",
            "telephone_number": "210-256-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA CHIROPRACTIC CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-467-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leon Valley Chiropractic",
            "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 Aug 22, 2020; 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.