Individual provider Active NPI

Donald S Phillips, DC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1881612018
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5286 Issued in TX
Practice address
115 N Loop 1604 E
Ste 1207
San Antonio, TX 78232-1250
Phone
(210) 545-1144
Fax
(210) 545-3686
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5286 TX Primary

Addresses

Primary practice location

115 N Loop 1604 E
Ste 1207
San Antonio, TX 78232-1250

Mailing address

115 N Loop 1604 E
Ste 1207
San Antonio, TX 78232-1250
Phone (210) 545-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000305 TX Practitioner - Chiropractic 1355442815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Dr Phillips Chiropractic, Nutrition and Wellness, P.a.Group PAC ID 8729189287, 2 clinicians

Practice addresses (Care Compare)

115 N Loop 1604
Suite 1207
San Antonio, TX 78232-1399
Phone (210) 545-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Phillips Chiropractic, Nutrition & Wellness, P.a. CurrentSince Jul 1, 2006 Accepting new patients
Franklin Chiropractic & Accident Clinics, Inc. Chiropractor PastSince Oct 3, 2016 Accepting new patients
San Antonio Integrated Healthcare PLLC PastSince Jan 1, 2016 Accepting new patients

Locations

115 N Loop 1604 E
Ste 1207
San Antonio, TX 78232
Phone (210) 545-1144

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1881612018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N LOOP 1604 E",
            "address_2": "STE 1207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321250",
            "telephone_number": "210-545-1144",
            "fax_number": "210-545-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N LOOP 1604 E",
            "address_2": "STE 1207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321250",
            "telephone_number": "210-545-1144",
            "fax_number": "210-545-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DONALD",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5286",
            "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 Dec 5, 2007; 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.