South Texas Sports Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

SOUTH TEXAS SPORTS CHIROPRACTIC

Practice address

7534 Lasso Dr
Corpus Christi, TX 78414

Phone

(813) 512-9903

NPI assigned

Nov 1, 2020

Organization subpart

No

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

Authorized official

Name

Mikkel Bahamondes, DCNPI 1740810860

Title

Owner

Phone

(813) 512-9903

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mikkel Bahamondes

  • Rehabilitation Chiropractor
  • Corpus Christi, TX
  • NPI 1740810860
  NPD Authorized official

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1790385391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7534 LASSO DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7534 LASSO DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "813-512-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-18",
        "status": "A",
        "authorized_official_last_name": "BAHAMONDES",
        "authorized_official_first_name": "MIKKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-512-9903",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Pulmonary and Critical Care Associates
• South Texas Retina Consultants, LLP
• South Texas Specialist Physicians, PLLC
• South Texas Speech Services
• South Texas Sports and Performance
• South Texas Sports Medicine Inc
• South Texas Substance Abuse Recovery Services
• South Texas Surgical Assistants, Inc.
• South Texas Surgical Assisting LLC
• South TX Mission of Mercy

• Sports Physician Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.