Organization Active NPI

Davenport Chiropractic, Inc.

  • Chiropractor
  • Humble, TX
National Provider Identifier
1063665206
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7122 Issued in TX
Legal business name
DAVENPORT CHIROPRACTIC, INC.
Practice address
7114 FM 1960 Rd E
Humble, TX 77346-2702
Phone
(281) 852-2424
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. Michael Alan Davenport, D.C.NPI 1851389092
Title
President
Phone
(281) 852-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7122 TX Primary

Addresses

Primary practice location

7114 FM 1960 Rd E
Humble, TX 77346-2702

Mailing address

7114 FM 1960 Rd E
Humble, TX 77346-2702
Phone (281) 852-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000538 TX Part B Supplier - Clinic/Group Practice 4981744919 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX; Waller, TX

National Provider Directory

National Provider Directory

Locations

2406 Main St
Waller, TX 77484
Phone (281) 682-8222

Practitioners & affiliated clinicians

Practitioners 3

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": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1063665206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462702",
            "telephone_number": "281-852-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462702",
            "telephone_number": "281-852-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-852-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.