Individual provider Active NPI

Kevin Steck, DC, MS

  • Chiropractor
  • New Braunfels, TX
National Provider Identifier
1972091700
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13798 Issued in TX
Practice address
624 S Seguin Ave
New Braunfels, TX 78130-7647
Phone
(830) 629-9909
NPI assigned
Apr 26, 2018
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13798 TX Primary

Addresses

Primary practice location

624 S Seguin Ave
New Braunfels, TX 78130-7647

Mailing address

1744 E McAndrews Rd
Ste D
Medford, OR 97504-5576
Phone (541) 414-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180605001151 TX Practitioner - ChiropracticPractitioner - Sports Medicine 3274898788 Reassigns benefits to 1 organization
I20210324000865 OR Practitioner - Chiropractic 3274898788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Chiropractic LLCGroup PAC ID 0345281671, 7 clinicians

Practice addresses (Care Compare)

2931 Doctors Park Dr
Medford, OR 97504-8127
Phone (541) 245-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Perry Chiropractic LLC Chiropractor PastSince Sep 23, 2024 Accepting new patients
Raymond B Perry Chiropractor PastSince May 15, 2018 Accepting new patients

Locations

1744 E McAndrews Rd
Ste D
Medford, OR 97504

2931 Doctors Park Dr
Medford, OR 97504
Phone (541) 245-4444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1972091700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD",
            "address_2": "STE D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-414-0362",
            "fax_number": "541-200-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S SEGUIN AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307647",
            "telephone_number": "830-629-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECK",
        "first_name": "KEVIN",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.