Organization Active NPI

Uc4Life Wellness Center-New Braunfels LLC

  • Chiropractor
  • New Braunfels, TX
National Provider Identifier
1912373762
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12364 Issued in TX
Legal business name
UC4LIFE WELLNESS CENTER-NEW BRAUNFELS LLC
Practice address
264 W Mill St
New Braunfels, TX 78130-7941
Phone
(830) 302-7363
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Jessica Page
Title
Administrator
Phone
(804) 504-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12364 TX Primary

Addresses

Primary practice location

264 W Mill St
New Braunfels, TX 78130-7941

Mailing address

264 W Mill St
New Braunfels, TX 78130-7941
Phone (830) 302-7363

Other names 1

  • INSTITUTE FOR FUNCTIONAL HEALTH- New Braunfels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1912373762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 W MILL ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307941",
            "telephone_number": "830-302-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W MILL ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307941",
            "telephone_number": "830-302-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC4LIFE WELLNESS CENTER-NEW BRAUNFELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-504-6114"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSTITUTE FOR FUNCTIONAL HEALTH- New Braunfels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.