Individual provider Active NPI

Justin Swanson, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1750531042
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10982 Issued in TX
Practice address
5750 Balcones Dr Ste 108
Austin, TX 78731-4268
Phone
(512) 452-2525
Fax
(512) 452-2525
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10982 TX Primary

Addresses

Primary practice location

5750 Balcones Dr Ste 108
Austin, TX 78731-4268

Mailing address

5750 Balcones Dr Ste 108
Austin, TX 78731-4268
Phone (512) 452-2525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000731 TX Practitioner - Chiropractic 3870630403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 Balcones Dr
Suite 102
Austin, TX 78731-4231
Phone (512) 452-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Chiropractic & Acupuncture Clinic, PC Chiropractor CurrentSince Sep 14, 2009 Accepting new patients
Tol PLLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients

Locations

6101 Balcones Dr
Ste 102
Austin, TX 78731
Phone (512) 452-2525

5750 Balcones Dr
Ste 108
Austin, TX 78731
Phone (512) 420-0900

Organizations & group practices 2

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1750531042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314268",
            "telephone_number": "512-452-2525",
            "fax_number": "512-452-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314268",
            "telephone_number": "512-452-2525",
            "fax_number": "512-452-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.