NPIMap

Organization Active NPI

Stafford Chiropractic Sport and Wellness Inc.

  • Chiropractor
  • Stafford, TX
National Provider Identifier
1053635854
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2247 Issued in TX
Legal business name
STAFFORD CHIROPRACTIC SPORT AND WELLNESS INC.
Practice address
2434 S Main St
A
Stafford, TX 77477-5522
Phone
(281) 499-2424
Fax
(281) 499-6525
NPI assigned
Mar 23, 2010
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mrs. Jessica Felker Simon
Title
Owner/Manager
Phone
(281) 499-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2247 TX Primary

Addresses

Primary practice location

2434 S Main St
A
Stafford, TX 77477-5522

Mailing address

1367 Sugar Creek Blvd
Sugar Land, TX 77478-3989
Phone (281) 499-2424

National Provider Directory

National Provider Directory

Locations

2434 S Main St
#A
Stafford, TX 77477
Phone (281) 499-2424

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1053635854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 SUGAR CREEK BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783989",
            "telephone_number": "281-499-2424",
            "fax_number": "281-499-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 S MAIN ST",
            "address_2": "A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775522",
            "telephone_number": "281-499-2424",
            "fax_number": "281-499-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD CHIROPRACTIC SPORT AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "FELKER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "281-499-2424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.