Individual provider Active NPI

Chelsea Serrano, D.C.

  • Chiropractor
  • Spring, TX
National Provider Identifier
1760902381
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13676 Issued in TX
Practice address
28517 Spring Trails RDG Ste 100
Spring, TX 77386-4357
Phone
(800) 404-6050
NPI assigned
Jun 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13676 TX Primary
Chiropractor 111N00000X 33957 CA

Addresses

Primary practice location

28517 Spring Trails RDG Ste 100
Spring, TX 77386-4357

Mailing address

PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 477-7654

Other identifiers 1

IdentifierTypeStateIssuer
13676OtherTXTEXAS BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001605 VT Practitioner - Chiropractic 8628306826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13676TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Back and Neck Center Chiropractor CurrentSince Dec 5, 2022 Accepting new patients
Maitri Health Care for Women PC CurrentSince Dec 5, 2022 Accepting new patients

Locations

185 Tilley Dr
Ste 57
South Burlington, VT 05403
Phone (802) 233-6692

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACAHCA

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": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1760902381",
    "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",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28517 SPRING TRAILS RDG STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864357",
            "telephone_number": "800-404-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13676",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "13676",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.