Eledge Family Chiropractic PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DC 10686 Issued in TX

Legal business name

ELEDGE FAMILY CHIROPRACTIC PLLC

Practice address

900 RR 620 S
Ste C 209
Lakeway, TX 78734-5615

Phone

(512) 263-8008

Fax

(512) 263-1769

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Glenda Johnson

Title

Billing Manager

Phone

(512) 396-8351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1871744524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RR 620 S",
            "address_2": "STE C 209",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345615",
            "telephone_number": "512-263-8008",
            "fax_number": "512-263-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RR 620 S",
            "address_2": "STE C 209",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345615",
            "telephone_number": "512-263-8008",
            "fax_number": "512-263-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEDGE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-396-8351"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "DC 10686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Duque, BCHN
• Tamala Duran, NBC-HWC
• Eaddy Dentistry PA
• Winston Marshall Eaddy, D.M.D., C.A.G.S.
• Waleed M El-Hitamy, OD
• Stephen S Eledge, DC
• Steven T. Elsbecker, D.O.
• Carol Ann Elskes, OTR
• Brendy Elson, M.S., CCC-SLP
• Emerivista, LLC

• Medical Specialty Clinic/Center in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.