Individual provider Active NPI

Samuel R Lacroix, DC

  • Sports Physician Chiropractor
  • West Lake Hills, TX
National Provider Identifier
1891241337
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
13032 Issued in TX
Practice address
1120 S Capital of Texas Hwy
BLDG 1 Ste 250
West Lake Hills, TX 78746-6464
Phone
(512) 258-4425
Fax
(512) 258-4553
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 13032 TX Primary

Addresses

Primary practice location

1120 S Capital of Texas Hwy
BLDG 1 Ste 250
West Lake Hills, TX 78746-6464

Mailing address

1120 S Capital of Texas Hwy
BLDG 1 Ste 250
West Lake Hills, TX 78746-6464
Phone (512) 258-4425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13032TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Rehab PA Sports Physician PastSince Dec 25, 2018 Accepting new patients
Arete Networks of Texas LLC Sports Physician PastSince Oct 1, 2019 Accepting new patients

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1891241337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG 1 STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466464",
            "telephone_number": "512-258-4425",
            "fax_number": "512-258-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG 1 STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466464",
            "telephone_number": "512-258-4425",
            "fax_number": "512-258-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "13032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.