Organization Active NPI

Dr. Golab's Chiropractic & Wellness PA

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1831210921
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7943 Issued in TX
Legal business name
DR. GOLAB'S CHIROPRACTIC & WELLNESS PA
Practice address
1205 N Loop 1604 W
Suite 211
San Antonio, TX 78258-4624
Phone
(210) 764-8888
Fax
(210) 764-2601
NPI assigned
Apr 3, 2007
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Michael Robert GolabNPI 1497820898
Title
Owner
Phone
(210) 764-8888

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7943 TX Primary

Addresses

Primary practice location

1205 N Loop 1604 W
Suite 211
San Antonio, TX 78258-4624

Mailing address

1205 N Loop 1604 W
Suite 211
San Antonio, TX 78258-4624
Phone (210) 764-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000187 TX Part B Supplier - Clinic/Group Practice 2961490420 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1831210921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N LOOP 1604 W",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584624",
            "telephone_number": "210-764-8888",
            "fax_number": "830-460-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N LOOP 1604 W",
            "address_2": "SUITE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584624",
            "telephone_number": "210-764-8888",
            "fax_number": "210-764-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GOLAB'S CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "GOLAB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-764-8888"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7943",
            "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 1, 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.