Individual provider Active NPI

Justin Quisberg, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1952829400
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13643 Issued in TX
Practice address
4130 S New Braunfels Ave Ste 113
San Antonio, TX 78223-1719
Phone
(702) 480-9875
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13643 TX Primary

Addresses

Primary practice location

4130 S New Braunfels Ave Ste 113
San Antonio, TX 78223-1719

Mailing address

4130 S New Braunfels Ave Ste 113
San Antonio, TX 78223-1719
Phone (210) 563-7246

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13643TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sa Injury Center Chiropractor PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1952829400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 S NEW BRAUNFELS AVE STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231719",
            "telephone_number": "210-563-7246",
            "fax_number": "210-549-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 S NEW BRAUNFELS AVE STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231719",
            "telephone_number": "702-480-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISBERG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.