Organization Active NPI

North Houston Diagnostic Ctr PA

  • Chiropractor
  • Houston, TX
National Provider Identifier
1104040641
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8130 Issued in TX
Legal business name
NORTH HOUSTON DIAGNOSTIC CTR PA
Practice address
5990 Airline Dr
#290
Houston, TX 77076-4233
Phone
(713) 694-0357
Fax
(713) 699-6218
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Koki Shah
Title
Office Manager
Phone
(713) 699-6202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8130 TX Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X G1258 TX

Addresses

Primary practice location

5990 Airline Dr
#290
Houston, TX 77076-4233

Mailing address

PO Box 11940
Houston, TX 77293-1940
Phone (713) 694-0357

Other identifiers 1

IdentifierTypeStateIssuer
MDG1258OtherTXDR CHANA WC AND COMM

Other names 1

  • AIRLINE PHYSICAL THERAPY AND REHA Doing business as

National Provider Directory

National Provider Directory

Locations

5990 Airline Dr
Ste 290
Houston, TX 77076
Phone (713) 694-0357

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104040641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11940",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772931940",
            "telephone_number": "713-694-0357",
            "fax_number": "713-699-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "#290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "713-694-0357",
            "fax_number": "713-699-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOUSTON DIAGNOSTIC CTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KOKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-699-6202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8130",
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "G1258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CHANA WC AND COMM",
            "identifier": "MDG1258",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIRLINE PHYSICAL THERAPY AND REHA",
            "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 Sep 11, 2025; 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.