Individual provider Active NPI

Robert Eugene Archer, DC

  • Chiropractor
  • Boerne, TX
National Provider Identifier
1710166533
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10388 Issued in TX
Practice address
28765 Interstate 10 W
Ste 106
Boerne, TX 78006-9140
Phone
(830) 755-4661
Fax
(830) 755-4656
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10388 TX Primary

Addresses

Primary practice location

28765 Interstate 10 W
Ste 106
Boerne, TX 78006-9140

Mailing address

28765 Ih-10 West
Suite 106
Boerne, TX 78006-6547
Phone (830) 755-4661

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Injury and Wellness PLLC CurrentSince May 28, 2023 Accepting new patients

Locations

28765 Interstate 10 W
Ste 106
Boerne, TX 78006
Phone (806) 679-8005

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1710166533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28765 IH-10 WEST",
            "address_2": "SUITE 106",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066547",
            "telephone_number": "830-755-4661",
            "fax_number": "830-755-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28765 INTERSTATE 10 W",
            "address_2": "STE 106",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069140",
            "telephone_number": "830-755-4661",
            "fax_number": "830-755-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.