Organization Active NPI

Atlas Holistic Wellness, LLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1780015271
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10497 Issued in TX
Legal business name
ATLAS HOLISTIC WELLNESS, LLC
Practice address
6010 Balcones Dr Ste 101
Austin, TX 78731-4205
Phone
(512) 465-9355
Fax
(512) 465-9356
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Roland Emmanuel Robinson, D.C.NPI 1932381860
Title
Principal Owner
Phone
(512) 465-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10497 TX Primary

Addresses

Primary practice location

6010 Balcones Dr Ste 101
Austin, TX 78731-4205

Mailing address

6010 Balcones Dr Ste 101
Austin, TX 78731-4205
Phone (512) 465-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606000240 TX Part B Supplier - Clinic/Group Practice 2961626262 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

6010 Balcones Dr
Ste 101
Austin, TX 78731
Phone (512) 465-9355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1780015271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BALCONES DR STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314205",
            "telephone_number": "512-465-9355",
            "fax_number": "512-465-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BALCONES DR STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314205",
            "telephone_number": "512-465-9355",
            "fax_number": "512-465-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS HOLISTIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "512-465-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10497",
            "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 Dec 9, 2013; 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.