Aktiv Integrative Chiropractic, PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

11693 Issued in TX

Legal business name

AKTIV INTEGRATIVE CHIROPRACTIC, PLLC

Practice address

6585 Hermoso del Sol
El Paso, TX 79911-3018

Phone

(915) 449-6453

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Christian Ponce, DCNPI 1790074409

Title

Provider/Owner

Phone

(915) 449-6453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Christian Ponce, D.C.

  • Chiropractor
  • El Paso, TX
  • NPI 1790074409
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1679942395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 HERMOSO DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113018",
            "telephone_number": "915-449-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 HERMOSO DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113018",
            "telephone_number": "915-449-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKTIV INTEGRATIVE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "915-449-6453",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "11693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akintoluwa Anthony Akinjaiyeju, M.D.
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• Babatunde Adekunle Akomolafe, PT, DPT, GCS
• Gift Ekwe Akpama
• Odemeror Felix Akpovi
• Simon Akuro Akum, PHARMACIST
• Akumin Imaging Texas LLC
• Anabel Al Abdallah, MD
• Mohammed Salem Ali Al Wageeh
• Waffa Al-Bassam, RD. LD. CDE.

• Sports Physician Chiropractor in El Paso, TX
• Providers in El Paso, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.