Active NPI
Ashley R Hazelton, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1689925109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11890
- Practice address
- 1730 SW Military Dr Ste 104C
San Antonio, TX 78221-1400 - Phone
- (210) 932-3731
- NPI assigned
- Sep 24, 2012
- Last updated
- Sep 24, 2012
- 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 | 11890 | TX | Primary |
Addresses
Primary practice location
1730 SW Military Dr Ste 104C
San Antonio, TX 78221-1400
Mailing address
1730 SW Military Dr Ste 104C
San Antonio, TX 78221-1400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11890 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Spinal Care Clinic LLC. | Chiropractor | Past | Accepting new patients |
| Southside Spinal Care Clinic LLC | Chiropractor | Past | 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.
-
- Chiropractor
- San Antonio, TX
- NPI 1467720755
-
- Chiropractor
- San Antonio, TX
- NPI 1083055834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1689925109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 SW MILITARY DR STE 104C",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 SW MILITARY DR STE 104C",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211400",
"telephone_number": "210-932-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELTON",
"first_name": "ASHLEY",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11890",
"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 Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.