Central Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6291 Issued in TX

Legal business name

CENTRAL CHIROPRACTIC CENTER

Practice address

2800 Bartons Bluff LN
Ste 403
Austin, TX 78746-7948

Phone

(972) 746-0050

Fax

(512) 590-8734

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kristie Gaddis, D.C.NPI 1801154869

Title

Owner

Phone

(972) 746-0050

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie Gaddis, D.C.

  • Chiropractor
  • Austin, TX
  • NPI 1801154869
  NPD (past) Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1760740724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BARTONS BLUFF LN",
            "address_2": "STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467948",
            "telephone_number": "972-746-0050",
            "fax_number": "512-590-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BARTONS BLUFF LN",
            "address_2": "STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467948",
            "telephone_number": "972-746-0050",
            "fax_number": "512-590-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-746-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Texas

• 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 Apr 27, 2012; 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.