Individual provider Active NPI

Laurie A Buob, DC

  • Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1679658728
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10240 Issued in TX
Practice address
4201 Bee Caves Rd Ste C102
West Lake Hills, TX 78746-6493
Phone
(512) 230-6030
Fax
(866) 313-3397
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10240 TX Primary

Addresses

Primary practice location

4201 Bee Caves Rd Ste C102
West Lake Hills, TX 78746-6493

Mailing address

PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 318-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412003249 NC Practitioner - Chiropractic 1052329612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10240TXMDChiropractor
5573NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC PastSince Jul 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1679658728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700688",
            "telephone_number": "210-318-3007",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE C102",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466493",
            "telephone_number": "512-230-6030",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUOB",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.