Organization Active NPI

Stratton Sport & Spine

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1730434911
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1270 Issued in TX
Legal business name
STRATTON SPORT & SPINE
Practice address
300 E Sonterra Blvd
Suite 410
San Antonio, TX 78258-3971
Phone
(210) 837-8244
Fax
(210) 569-6542
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Brock Stratton, DCNPI 1386906634
Title
President/Owner
Phone
(210) 837-8244

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1270 TX Primary

Addresses

Primary practice location

300 E Sonterra Blvd
Suite 410
San Antonio, TX 78258-3971

Mailing address

PO Box 593043
San Antonio, TX 78259-0202
Phone (210) 837-8244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402002161 TX Part B Supplier - Clinic/Group Practice 6002047156 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

140 Heimer Rd
Ste 345
San Antonio, TX 78232
Phone (210) 837-8244

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1730434911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593043",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590202",
            "telephone_number": "210-837-8244",
            "fax_number": "210-569-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD",
            "address_2": "SUITE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583971",
            "telephone_number": "210-837-8244",
            "fax_number": "210-569-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATTON SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-837-8244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 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.