Organization Active NPI

Carlson Chiropractic Center

  • Chiropractor
  • Austin, TX
National Provider Identifier
1861595019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2796 Issued in TX
Legal business name
CARLSON CHIROPRACTIC CENTER
Practice address
6905 W Gate Blvd Ste a
Austin, TX 78745-5141
Phone
(512) 447-9093
Fax
(512) 447-3366
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John David Carlson, D.C.NPI 1497773253
Title
Owner/Doctor
Phone
(512) 447-9093

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 DC2796 TX Primary

Addresses

Primary practice location

6905 W Gate Blvd Ste a
Austin, TX 78745-5141

Mailing address

6905 W Gate Blvd Ste a
Austin, TX 78745-5141
Phone (512) 447-9093

National Provider Directory

National Provider Directory

Locations

6905 West Gate Blvd
Ste A
Austin, TX 78745
Phone (512) 447-9093

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861595019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 W GATE BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455141",
            "telephone_number": "512-447-9093",
            "fax_number": "512-447-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 W GATE BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455141",
            "telephone_number": "512-447-9093",
            "fax_number": "512-447-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "512-447-9093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.