Travis Diestel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16186 Issued in TX

Practice address

741 Generations Dr Ste 200
New Braunfels, TX 78130-0513

Phone

(830) 255-4350

NPI assigned

Nov 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diestel Family Chiropractic PLLCGroup PAC ID 1153860218, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diestel Family Chiropractic PLLC

  dba Maxliving Chiropractic

  • Chiropractor
  • New Braunfels, TX
  • NPI 1366285975
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1962226365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 GENERATIONS DR STE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300513",
            "telephone_number": "830-255-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 GENERATIONS DR STE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300513",
            "telephone_number": "830-255-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESTEL",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Diaz, LPC
• William Diaz Jr., NP-C
• Megan Elizabeth Diego
• Diestel Family Chiropractic PLLC (Maxliving Chiropractic)
• Rachel Diestel, D.C.
• Amethyst Diethrich, CPHT
• Holley Smith Digby
• Audrey Rose Dimicelli
• Lucille J Dion, LMT
• Dionne Garner Nutrition LLC

• Chiropractor in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.