Active NPI
Laura Michelle Mix, D.C.
- Chiropractor
- Bastrop, TX
National Provider Identifier
1730204546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10302
- Practice address
- 807 Main St
Bastrop, TX 78602-3807 - Phone
- (512) 321-9200
- Fax
- (512) 321-9201
- NPI assigned
- Mar 20, 2007
- Last updated
- Dec 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10302 | TX | Primary |
Addresses
Primary practice location
807 Main St
Bastrop, TX 78602-3807
Mailing address
807 Main St
Bastrop, TX 78602-3807
Phone (512) 321-9200
Other names 1
- Dr. Laura Michelle Adams
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1302 | LA | MD | Hearing Instrument Specialist |
| 10302 | TX | MD | Substance Use Disorder Rehabilitation Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mix Family Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1730204546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 MAIN ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023807",
"telephone_number": "512-321-9200",
"fax_number": "512-321-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 MAIN ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023807",
"telephone_number": "512-321-9200",
"fax_number": "512-321-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIX",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ADAMS",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.