Patrick Leroy Mahan, D. C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

DC 2748 Issued in TX

Practice address

302 E Beauregard Ave
San Angelo, TX 76903-5923

Phone

(325) 655-1070

Fax

(325) 655-1036

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Wright Chiropractic, P.C.

  • Neurology Chiropractor
  • San Angelo, TX
  • NPI 1437273471
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1700818325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035923",
            "telephone_number": "325-655-1070",
            "fax_number": "325-655-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035923",
            "telephone_number": "325-655-1070",
            "fax_number": "325-655-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "PATRICK",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "DC 2748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350043251",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "601089",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Maa, PHARMD
• Elinor Monahan Macleod, DMD
• Luis Enrique Madero Castro, MD
• Louis James Magana Jr.
• Ashley A Magro, RPH
• Patrick Clarence Makins, DDS MSD
• Peggy Lee Makowski, C.O.T.A.
• Colleen Mallory
• Malone House
• Carl Hubert Malone Jr.

• Occupational Health Chiropractor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Occupational Health Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.