Active NPI
Pankti Y Fadia, DC
- Chiropractor
- San Antonio, TX
National Provider Identifier
1679050231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13876
- Practice address
- 9902 Potranco Rd Ste 119
San Antonio, TX 78251-9611 - Phone
- (281) 865-1863
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13876 | TX | Primary |
Addresses
Primary practice location
9902 Potranco Rd Ste 119
San Antonio, TX 78251-9611
Mailing address
9902 Potranco Rd Ste 119
San Antonio, TX 78251-9611
Phone (210) 760-0339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13876 | TX | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1679050231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 POTRANCO RD STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782519611",
"telephone_number": "210-760-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 POTRANCO RD STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782519611",
"telephone_number": "281-865-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADIA",
"first_name": "PANKTI",
"middle_name": "Y",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.