Rollingwood Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10994 Issued in TX

Legal business name

ROLLINGWOOD FAMILY CHIROPRACTIC

Practice address

2712 Bee Cave Rd
Ste 112
Austin, TX 78746-5676

Phone

(512) 328-6459

Fax

(512) 328-6468

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald G. Pethtel, D.C.

Title

President

Phone

(512) 328-6459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1760628994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "STE 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-328-6459",
            "fax_number": "512-328-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "STE 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-328-6459",
            "fax_number": "512-328-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLINGWOOD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "PETHTEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-328-6459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.