Organization Active NPI

Gregersen Family Chiropractic, LLC

  • Chiropractor
  • New Braunfels, TX
National Provider Identifier
1922362177
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10129 Issued in TX
Legal business name
GREGERSEN FAMILY CHIROPRACTIC, LLC
Practice address
1050 N Ih 35
Suite 300
New Braunfels, TX 78130-3785
Phone
(830) 629-8030
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Beau Gregersen, DC
Title
Owner/Provider
Phone
(830) 629-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10129 TX Primary

Addresses

Primary practice location

1050 N Ih 35
Suite 300
New Braunfels, TX 78130-3785

Mailing address

1050 N Ih 35
Suite 300
New Braunfels, TX 78130-3785

National Provider Directory

National Provider Directory

Locations

1050 Interstate 35 N
Ste 300
New Braunfels, TX 78130
Phone (830) 629-8050

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1922362177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N IH 35",
            "address_2": "SUITE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N IH 35",
            "address_2": "SUITE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303785",
            "telephone_number": "830-629-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGERSEN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "GREGERSEN",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "830-629-8030",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 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.