Organization Active NPI

Castillo Chiropractic

  • Rehabilitation Chiropractor
  • Houston, TX
National Provider Identifier
1073817821
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
10418 Issued in TX
Legal business name
CASTILLO CHIROPRACTIC
Practice address
1400 W Sam Houston Pkwy N Ste 140
Houston, TX 77043-3195
Phone
(713) 460-9700
Fax
(713) 460-9702
NPI assigned
Jan 7, 2011
Last updated
Mar 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Juan Manuel Castillo, D.C.NPI 1750415410
Title
Chiropractor / Owner
Phone
(713) 460-9700

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
Rehabilitation Chiropractor 111NR0400X 10418 TX Primary

Addresses

Primary practice location

1400 W Sam Houston Pkwy N Ste 140
Houston, TX 77043-3195

Mailing address

1400 W Sam Houston Pkwy N Ste 140
Houston, TX 77043-3195
Phone (713) 460-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190318000187 TX Part B Supplier - Clinic/Group Practice 0244570984 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1400 W Sam Houston Pkwy N
Ste 140
Houston, TX 77043
Phone (713) 460-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1073817821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W SAM HOUSTON PKWY N STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433195",
            "telephone_number": "713-460-9700",
            "fax_number": "713-460-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W SAM HOUSTON PKWY N STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433195",
            "telephone_number": "713-460-9700",
            "fax_number": "713-460-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "713-460-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.