Organization Active NPI

Borbon Chiropractic PLLC

  • Neurology Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1669624409
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
9945 Issued in TX
Legal business name
BORBON CHIROPRACTIC PLLC
Practice address
5656 Bee Caves Rd
Suite K201
West Lake Hills, TX 78746-5280
Phone
(512) 306-9800
Fax
(512) 306-9818
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Roger Andre Borbon, D.C.
Title
Owner/Ceo
Phone
(512) 306-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 9945 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd
Suite K201
West Lake Hills, TX 78746-5280

Mailing address

5656 Bee Caves Rd
Suite K201
West Lake Hills, TX 78746-5280
Phone (512) 306-9800

Other identifiers 2

IdentifierTypeStateIssuer
V04296OtherTXUPIN
1558545228OtherTXNPI

Other names 1

  • Pure Life Chiropractic Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

5656 Bee Caves Rd
Ste K201
West Lake Hills, TX 78746
Phone (512) 454-3333

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1669624409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-306-9800",
            "fax_number": "512-306-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-306-9800",
            "fax_number": "512-306-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORBON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "BORBON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "512-306-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "9945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "V04296",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558545228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Life Chiropractic Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.