Organization Active NPI

Capitol of Texas Chiropractic Center, Inc.

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1710014014
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC6885 Issued in TX
Legal business name
CAPITOL OF TEXAS CHIROPRACTIC CENTER, INC.
Practice address
5625 Eiger Rd
Suite 160
Austin, TX 78735-8976
Phone
(512) 326-1400
Fax
(512) 326-1463
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Donald McKinley, D.C.NPI 1902949001
Title
Owner
Phone
(512) 326-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC6885 TX Primary

Addresses

Primary practice location

5625 Eiger Rd
Suite 160
Austin, TX 78735-8976

Mailing address

5625 Eiger Rd
Suite 160
Austin, TX 78735-8976
Phone (512) 326-1400

Other identifiers 1

IdentifierTypeStateIssuer
0066KUOtherTXBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204001694 TX Part B Supplier - Clinic/Group Practice 0143542985 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2500 W William Cannon Dr
Ste 704
Austin, TX 78745
Phone (512) 326-1400

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1710014014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358976",
            "telephone_number": "512-326-1400",
            "fax_number": "512-326-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358976",
            "telephone_number": "512-326-1400",
            "fax_number": "512-326-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL OF TEXAS CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-326-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "DC6885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0066KU",
            "state": "TX"
        }
    ],
    "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 Feb 19, 2014; 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.