Active NPI
Jay Mistry, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1750916714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14390
- Practice address
- 111 Tower Dr BLDG 1
San Antonio, TX 78232-3625 - Phone
- (800) 404-6050
- Fax
- (866) 313-3397
- NPI assigned
- Mar 10, 2020
- Sex
- Male
- 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 | 14390 | TX | Primary |
Addresses
Primary practice location
111 Tower Dr BLDG 1
San Antonio, TX 78232-3625
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 477-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14390 | Other | TX | TEXAS BOARD OF CHIROPRACTIC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1750916714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "210-477-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TOWER DR BLDG 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323625",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC",
"identifier": "14390",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Mission Trail Mental Health Clinic PLLC
- Mission Trail OB/GYN Associates, PLLC
- Mission Vascular Specialists Corp
- Mission Vista Behavioral Health Services, Inc. (Mission Vista Hospital)
- Madeline Mistich, PT, DPT
- Nikita Mistry
- Shilpi Atul Mistry, B.D.S., M.P.H.
- Misty McGuffin LPC, PLLC
- Misty Thompson Thompson Therapy Connection
- Monica Mirela Mita, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.