Organization Active NPI

Rising Chiropractic Clinic

  • Chiropractor
  • Beaumont, TX
National Provider Identifier
1073799334
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8324 Issued in TX
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

Updated by the provider on Aug 19, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.