Individual provider Active NPI

Salvatore Peter Maneen Jr., D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1043332547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2953 Issued in TX
Practice address
12288 Westheimer Rd
Suite 310
Houston, TX 77077-6054
Phone
(281) 497-3472
Fax
(281) 497-3828
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2953 TX Primary

Addresses

Primary practice location

12288 Westheimer Rd
Suite 310
Houston, TX 77077-6054

Mailing address

12288 Westheimer Rd
Suite 310
Houston, TX 77077-6054
Phone (281) 497-3472

Other identifiers 2

IdentifierTypeStateIssuer
601196OtherTXBLUE CROSS BLUE SHEILD
760049173OtherTXTAX ID

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
2953TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Chiropractic of West Memorial Past 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043332547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12288 WESTHEIMER RD",
            "address_2": "SUITE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776054",
            "telephone_number": "281-497-3472",
            "fax_number": "281-497-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12288 WESTHEIMER RD",
            "address_2": "SUITE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776054",
            "telephone_number": "281-497-3472",
            "fax_number": "281-497-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEEN",
        "first_name": "SALVATORE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "601196",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760049173",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.