Aqua Haven Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10344 Issued in TX

Legal business name

AQUA HAVEN CHIROPRACTIC

Practice address

107 Ranch Road 620 South
Suite 105
Lakeway, TX 78734-3901

Phone

(512) 266-7684

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Jinger R Poth, D.C.

Title

Doctor of Chiropractic

Phone

(512) 508-0632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1962775718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 WHISPER TRL",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765139521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RANCH ROAD 620 SOUTH",
            "address_2": "SUITE 105",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343901",
            "telephone_number": "512-266-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA HAVEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "POTH",
        "authorized_official_first_name": "JINGER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "512-508-0632",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Andrew Alford, DDS
• Hannah Alger
• Neelkantha Amatya, M.D.
• Kristen Michelle Ankrom, MD
• Rachel Antoine, PT, DPT
• Donya Arasteh
• Arc Lakeway SNF LLC
• Michael Ernest John Archuleta, M.D.
• Frances Arredondo, LPC-A
• Pralay Atodaria

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

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