VICTORY CHIROPRACTIC LLC
NPI 1063205052
Chiropractor in San Marcos, TX

Active since May 23, 2025
120 RIVERWALK DR STE 308, SAN MARCOS, TX 78666(425) 864-3004 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Victory Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY CHIROPRACTIC LLC (NPI 1063205052) is a healthcare organization registered as a chiropractor in San Marcos, Texas and active in the NPI registry since May 2025. The organization lists Eduardo Francisco Duran, President, as its authorized official.

NPPES Registry Identity

NPI1063205052
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVICTORY CHIROPRACTIC LLC
Location Address120 RIVERWALK DR STE 308San Marcos, TX 78666-5597
Mailing Address436 Chaste Tree DrSan Marcos, TX 78666-4993 · (425) 864-3004
Organization SubpartNo
Authorized OfficialEduardo Francisco DuranPresident · (425) 864-3004
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1063205052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
120 RIVERWALK DR STE 308, San Marcos, TX 78666

Other Identifiers 1

Medicaid1710773577TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Victory Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1710773577
120 RIVERWALK DR STE 308
San Marcos, TX 78666
(425) 864-3004
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Chiropractic LLC's NPI number?

The NPI number for Victory Chiropractic LLC is 1063205052. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Victory Chiropractic LLC located?

Victory Chiropractic LLC is located at 120 Riverwalk Dr Ste 308, San Marcos, TX 78666. The listed phone number is (425) 864-3004.

What is Victory Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Victory Chiropractic LLC enrolled in Medicare?

Yes. Victory Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Victory Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victory Chiropractic LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.