Active NPI
Rising Chiropractic Clinic
- Chiropractor
- Beaumont, TX
National Provider Identifier
1073799334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC8324
- Legal business name
- RISING CHIROPRACTIC CLINIC
- Doing business as
- Triangle Health Centers,P.A.
- Practice address
- 5755 College St
Beaumont, TX 77707-3518 - Phone
- (409) 840-9300
- Fax
- (409) 842-4960
- NPI assigned
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bodre M Rising, D.C.
- Title
- Chiropractor
- Phone
- (409) 840-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC8324 | TX | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | DC8324 | TX |
Addresses
Primary practice location
5755 College St
Beaumont, TX 77707-3518
Mailing address
5755 College St
Beaumont, TX 77707-3518
Phone (409) 840-9300
Other names 1
- Triangle Health Centers,P.A.
National Provider Directory
National Provider DirectoryLocations
5755 College St
Beaumont, TX 77707
Phone (409) 333-1487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250640000000",
"number": "1073799334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073518",
"telephone_number": "409-840-9300",
"fax_number": "409-842-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073518",
"telephone_number": "409-840-9300",
"fax_number": "409-842-4960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2009-08-19",
"status": "A",
"authorized_official_last_name": "RISING",
"authorized_official_first_name": "BODRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "409-840-9300",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "DC8324",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "DC8324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Triangle Health Centers,P.A.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.