Individual provider Active NPI

Michael Garcia, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1811274509
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11925 Issued in TX
Practice address
8410 Fountain Cir
San Antonio, TX 78229-2387
Phone
(210) 927-0000
NPI assigned
Nov 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11925 TX Primary

Addresses

Primary practice location

8410 Fountain Cir
San Antonio, TX 78229-2387

Mailing address

215 W. Bandera Suite 114
PMB 504
Boerne, TX 78006
Phone (830) 249-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318000735 TX Practitioner - Chiropractic 6406153436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennell Family Chiropractic PAGroup PAC ID 3476724550, 2 clinicians

Practice addresses (Care Compare)

115 Hwy 46 W
Boerne, TX 78006-2842
Phone (830) 249-8900

215 W Bandera
Suite 114 PMB 406
Boerne, TX 78006-2842

215 W Bandera Rd
Suite 114
Boerne, TX 78006-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11925TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennell Family Chiropractic PA Chiropractor CurrentSince Mar 14, 2016 Accepting new patients
Atlas Chiropractic, PA Past Accepting new patients

Locations

215 W Bandera Rd
Ste 114
Boerne, TX 78006
Phone (830) 249-8900

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1811274509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W. BANDERA SUITE 114",
            "address_2": "PMB 504",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-249-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 FOUNTAIN CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292387",
            "telephone_number": "210-927-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.