Individual provider Active NPI

Chad Mitchell Patrick, D.C.

  • Chiropractor
  • Encinitas, CA
National Provider Identifier
1841234994
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30164 Issued in CA
Practice address
205 S El Camino Real
Suite G
Encinitas, CA 92024-4141
Phone
(760) 942-7441
Fax
(760) 942-6526
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30164 CA Primary

Addresses

Primary practice location

205 S El Camino Real
Suite G
Encinitas, CA 92024-4141

Mailing address

205 S El Camino Real
Suite G
Encinitas, CA 92024-4141
Phone (760) 942-7441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000485 TX Practitioner - Chiropractic 6204932841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texstar Chiropractic PLLCGroup PAC ID 4789842683, 6 clinicians

Practice addresses (Care Compare)

11614 FM 2244 Rd
Suite 110
Austin, TX 78738-5551
Phone (512) 889-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30164CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texstar Chiropractic, PLLC Chiropractor CurrentSince Nov 17, 2024 Accepting new patients
Patrick Chiropractic Corp CurrentSince Aug 24, 2011 Accepting new patients

Locations

205 S El Camino Real
Ste G
Encinitas, CA 92024
Phone (760) 753-0758

4601 Southwest Pkwy
Ste 101
Austin, TX 78735
Phone (512) 892-4445

11614 FM 2244 Rd
Ste 110
Austin, TX 78738
Phone (512) 263-1113

181 Cimarron Park Loop
Ste D
Buda, TX 78610
Phone (512) 295-2273

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1841234994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S EL CAMINO REAL",
            "address_2": "SUITE G",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244141",
            "telephone_number": "760-942-7441",
            "fax_number": "760-942-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S EL CAMINO REAL",
            "address_2": "SUITE G",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244141",
            "telephone_number": "760-942-7441",
            "fax_number": "760-942-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CHAD",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.