Organization Active NPI

Full Circle Chiropractic and Wellness Center, LLC.

  • Sports Physician Chiropractor
  • Houston, TX
National Provider Identifier
1093188369
Registry record updated Nov 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
12085 Issued in TX
Legal business name
FULL CIRCLE CHIROPRACTIC AND WELLNESS CENTER, LLC.
Doing business as
Full Circle Chiropractic and Wellness Center, LLC.
Practice address
2408 Wheeler St
Houston, TX 77004-5250
Phone
(832) 947-3715
Fax
(888) 599-0831
NPI assigned
Nov 8, 2015
Last updated
Nov 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2015

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

Authorized official

Name
Dr. Te'Lla Dannette Robinson, D.C., C.C.S.P.
Title
Chiropractor/Owner
Phone
(832) 947-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 12085 TX Primary

Addresses

Primary practice location

2408 Wheeler St
Houston, TX 77004-5250

Mailing address

10223 Broadway St
Suite P #422
Pearland, TX 77584-7880
Phone (832) 947-3715

Other names 1

  • Full Circle Chiropractic and Wellness Center, LLC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160112000864 TX Part B Supplier - Clinic/Group Practice 2668774373 Receives reassigned benefits from 1 practitioner
Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Locations

2408 Wheeler St
Houston, TX 77004
Phone (281) 862-8787

2825 Dulles Ave
Missouri City, TX 77459
Phone (832) 947-3715

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": "1446940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448064000000",
    "number": "1093188369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "SUITE P #422",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "832-947-3715",
            "fax_number": "888-599-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WHEELER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045250",
            "telephone_number": "832-947-3715",
            "fax_number": "888-599-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE CHIROPRACTIC AND WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-08",
        "last_updated": "2015-11-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TE'LLA",
        "authorized_official_middle_name": "DANNETTE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "832-947-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Chiropractic and Wellness Center, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2015; 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.