Individual provider Active NPI

Jacob Liserio Torres, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1689905390
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11331 Issued in TX
Practice address
120 W Ashby PL
San Antonio, TX 78212-5838
Phone
(210) 468-1891
Fax
(210) 568-4905
NPI assigned
Jan 20, 2010
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 11331 TX Primary

Addresses

Primary practice location

120 W Ashby PL
San Antonio, TX 78212-5838

Mailing address

120 W Ashby PL
San Antonio, TX 78212-5838
Phone (210) 468-1891

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

LicenseStateTypeSpecialty
11331TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Functional Health PLLC Current Accepting new patients
Alamo City Pain Consultants LLC Chiropractor Current Accepting new patients
Uc4Life Wellness Center Past Accepting new patients

Locations

120 W Ashby Pl
San Antonio, TX 78212
Phone (210) 468-1891

Organizations & group practices 3

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1689905390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125838",
            "telephone_number": "210-468-1891",
            "fax_number": "105-684-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W ASHBY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125838",
            "telephone_number": "210-468-1891",
            "fax_number": "210-568-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JACOB",
        "middle_name": "LISERIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11331",
            "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 Apr 8, 2020; 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.