Active NPI
Borbon Chiropractic PLLC
- Neurology Chiropractor
- West Lake Hills, TX
National Provider Identifier
1669624409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 9945
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V04296 | Other | TX | UPIN |
| 1558545228 | Other | TX | NPI |
Other names 1
- Pure Life Chiropractic Neurology
National Provider Directory
National Provider DirectoryLocations
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.