Organization Active NPI

Mauldin Heinrich Chiropractic, LLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1699024752
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 5085 Issued in TX
Legal business name
MAULDIN HEINRICH CHIROPRACTIC, LLC
Practice address
4131 Spicewood Springs Rd Ste O1
Austin, TX 78759-8664
Phone
(512) 795-0707
Fax
(512) 795-7742
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Sylvia Mauldin McMinn
Title
Managing Member
Phone
(512) 795-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 5085 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste O1
Austin, TX 78759-8664

Mailing address

4131 Spicewood Springs Rd Ste O1
Austin, TX 78759-8664
Phone (512) 795-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000295 TX Part B Supplier - Clinic/Group Practice 1355599317 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4131 Spicewood Springs Rd
Ste O1
Austin, TX 78759
Phone (512) 795-0707

4131 Spicewood Springs Rd
Ste C1
Austin, TX 78759
Phone (512) 873-0700

4131 Spicewood Springs Rd
#0
Austin, TX 78759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1699024752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE O1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598664",
            "telephone_number": "512-795-0707",
            "fax_number": "512-795-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE O1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598664",
            "telephone_number": "512-795-0707",
            "fax_number": "512-795-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULDIN HEINRICH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "MAULDIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-795-0707"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC 5085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.