Individual provider Active NPI

David Ptacnik, DC

  • Chiropractor
  • Brownsville, TX
National Provider Identifier
1780112920
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13477 Issued in TX
Practice address
3770 Calle Buenos Aires
Brownsville, TX 78526-1168
Phone
(408) 484-4325
NPI assigned
Jun 1, 2017
Reactivated
Aug 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13477 TX Primary

Addresses

Primary practice location

3770 Calle Buenos Aires
Brownsville, TX 78526-1168

Mailing address

3770 Calle Buenos Aires
Brownsville, TX 78526-1168
Phone (956) 226-4354

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1780112920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 CALLE BUENOS AIRES",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261168",
            "telephone_number": "956-226-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 CALLE BUENOS AIRES",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261168",
            "telephone_number": "408-484-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTACNIK",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "deactivation_date": "2020-01-17",
        "reactivation_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.