NPIMap

Organization Active NPI

Texas Spine and Joint Rehabilitation

  • Chiropractor
  • San Marcos, TX
National Provider Identifier
1902158199
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11401 Issued in TX
Legal business name
TEXAS SPINE AND JOINT REHABILITATION
Practice address
1401 Thorpe LN
San Marcos, TX 78666-6541
Phone
(512) 392-3900
Fax
(512) 392-9939
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Daniel Lee Pennell, D.C.
Title
Ceo
Phone
(214) 675-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11401 TX Primary

Addresses

Primary practice location

1401 Thorpe LN
San Marcos, TX 78666-6541

Mailing address

1401 Thorpe LN
San Marcos, TX 78666-6541
Phone (512) 392-3900

National Provider Directory

National Provider Directory
Tax ID family
Texas Spine and Joint Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1401 Thorpe Ln
San Marcos, TX 78666
Phone (512) 392-3900

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1902158199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 THORPE LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666541",
            "telephone_number": "512-392-3900",
            "fax_number": "512-392-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 THORPE LN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666541",
            "telephone_number": "512-392-3900",
            "fax_number": "512-392-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND JOINT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-675-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.