Individual provider Active NPI

Timothy C. McCullough, DC, DABCI

  • Internist Chiropractor
  • Houston, TX
National Provider Identifier
1093852428
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
5866 Issued in TX
Practice address
11003 Resource Pkwy
Suite 103
Houston, TX 77089-6141
Phone
(281) 481-9299
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 5866 TX Primary

Addresses

Primary practice location

11003 Resource Pkwy
Suite 103
Houston, TX 77089-6141

Mailing address

11003 Resource Pkwy
Suite 103
Houston, TX 77089-6141
Phone (281) 481-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5866TXMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Biotech Chiropractic Clinic, Inc Internist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1093852428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY",
            "address_2": "SUITE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896141",
            "telephone_number": "281-481-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY",
            "address_2": "SUITE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896141",
            "telephone_number": "281-481-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DC, DABCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "5866",
            "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 Aug 1, 2008; 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.