NPIMap

Organization Active NPI

Mission City Chiropractic

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1740575679
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11761 Issued in TX
Legal business name
MISSION CITY CHIROPRACTIC
Practice address
17219 Oconnor Rd
Ste 101
San Antonio, TX 78247-5678
Phone
(972) 345-0206
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Maegan Moseley Stanga, D.C.
Title
Owner
Phone
(214) 714-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11761 TX Primary

Addresses

Primary practice location

17219 Oconnor Rd
Ste 101
San Antonio, TX 78247-5678

Mailing address

28770 Bermuda Bay Way
#204
Bonita Springs, FL 34134-1305
Phone (972) 345-0206

National Provider Directory

National Provider Directory

Locations

17219 Oconnor Rd
Ste 101
San Antonio, TX 78247
Phone (210) 259-8618

Practitioners & affiliated clinicians

Practitioners 3

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1740575679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28770 BERMUDA BAY WAY",
            "address_2": "#204",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341305",
            "telephone_number": "972-345-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17219 OCONNOR RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475678",
            "telephone_number": "972-345-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "STANGA",
        "authorized_official_first_name": "MAEGAN",
        "authorized_official_middle_name": "MOSELEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-714-1161",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11761",
            "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 Jun 20, 2011; 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.