Individual provider Active NPI

Robert R Wetz, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1710032784
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6130 Issued in TX
Practice address
1583 Thousand Oaks Dr
Suite #127
San Antonio, TX 78232-2300
Phone
(210) 545-2225
Fax
(210) 545-2254
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6130 TX Primary

Addresses

Primary practice location

1583 Thousand Oaks Dr
Suite #127
San Antonio, TX 78232-2300

Mailing address

1583 Thousand Oaks Dr
Suite #127
San Antonio, TX 78232-2300
Phone (210) 545-2225

Other identifiers 1

IdentifierTypeStateIssuer
603794OtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000450 TX Practitioner - Chiropractic 7315109998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1583 Thousand Oaks Dr
Suite 127
San Antonio, TX 78232-2300
Phone (210) 545-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wetz Chiropractic Clinic PA Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

1583 Thousand Oaks Dr
Ste 127
San Antonio, TX 78232
Phone (210) 545-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710032784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR",
            "address_2": "SUITE #127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322300",
            "telephone_number": "210-545-2225",
            "fax_number": "210-545-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR",
            "address_2": "SUITE #127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322300",
            "telephone_number": "210-545-2225",
            "fax_number": "210-545-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZ",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "603794",
            "state": "TX"
        }
    ],
    "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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.