Consult Fortitude, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13142 Issued in TX

Legal business name

CONSULT FORTITUDE, INC

Doing business as

Kinetik

Practice address

951 FM 646 Rd E Ste A7
Dickinson, TX 77539-5597

Phone

(281) 930-6468

Fax

(281) 930-6468

NPI assigned

Jul 10, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tyler Scott Bowman, DC

Title

Owner-Chiropractor

Phone

(281) 930-6468

Specialties & licenses 1

Addresses

Other names 1

• Kinetik Doing business as

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053833236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FM 646 RD E STE A7",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395597",
            "telephone_number": "281-930-6468",
            "fax_number": "281-930-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 FM 646 RD E STE A7",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395597",
            "telephone_number": "281-930-6468",
            "fax_number": "281-930-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULT FORTITUDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER-CHIROPRACTOR",
        "authorized_official_telephone_number": "281-930-6468",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetik",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.