Organization Active NPI

Aspire Regenerative Wound Care Corp

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1750145454
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ASPIRE REGENERATIVE WOUND CARE CORP
Practice address
1901 NW Military Hwy Ste 222
San Antonio, TX 78213-2149
Phone
(210) 977-0070
Fax
(210) 977-0220
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Ki E Kroll
Title
Owner
Phone
(210) 977-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1901 NW Military Hwy Ste 222
San Antonio, TX 78213-2149

Mailing address

1901 NW Military Hwy Ste 222
San Antonio, TX 78213-2149
Phone (210) 977-0070

National Provider Directory

National Provider Directory

Locations

1901 NW Military Hwy
Ste 222
San Antonio, TX 78213
Phone (210) 977-0070

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1750145454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NW MILITARY HWY STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132149",
            "telephone_number": "210-977-0070",
            "fax_number": "210-977-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW MILITARY HWY STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132149",
            "telephone_number": "210-977-0070",
            "fax_number": "210-977-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE REGENERATIVE WOUND CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "KI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-977-0070"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Mar 30, 2024; 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.