NPIMap

Organization Active NPI

University Spine & Sports Medicine Inc

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1902038177
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UNIVERSITY SPINE & SPORTS MEDICINE INC
Practice address
1930 Rawhide Dr Ste 308
Round Rock, TX 78681-6954
Phone
(512) 694-6731
Fax
(512) 590-8734
NPI assigned
Aug 20, 2009
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Elena V Olcott, D.C., PA
Title
Owner
Phone
(512) 600-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1930 Rawhide Dr Ste 308
Round Rock, TX 78681-6954

Mailing address

1930 Rawhide Dr Ste 308
Round Rock, TX 78681-6954
Phone (512) 694-6731

Other names 1

  • ELENA VILLANUEVA OLCOTT Other name

National Provider Directory

National Provider Directory
Tax ID family
Elena Villanueva Olcott2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1902038177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 RAWHIDE DR STE 308",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816954",
            "telephone_number": "512-694-6731",
            "fax_number": "512-590-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 RAWHIDE DR STE 308",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816954",
            "telephone_number": "512-694-6731",
            "fax_number": "512-590-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPINE & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "OLCOTT",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-600-4848",
        "authorized_official_credential": "D.C., PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELENA VILLANUEVA OLCOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.