Spine Care Institute Clear Lake

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4141 Issued in TX

Legal business name

SPINE CARE INSTITUTE CLEAR LAKE

Practice address

2047 W Main St
Suite A8
League City, TX 77573-3579

Phone

(281) 332-9631

Fax

(281) 332-8192

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Paul Hodges Jr., D.C.NPI 1285634014

Title

Owner

Phone

(281) 332-9631

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Paul Hodges Jr., D.C.

  • Nutrition Chiropractor
  • League City, TX
  • NPI 1285634014
  NPD (past) Authorized official

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1104967264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 W MAIN ST",
            "address_2": "SUITE A8",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733579",
            "telephone_number": "281-332-9631",
            "fax_number": "281-332-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W MAIN ST",
            "address_2": "SUITE A8",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733579",
            "telephone_number": "281-332-9631",
            "fax_number": "281-332-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE INSTITUTE CLEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-332-9631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooke Stanton, MSN, APRN, FNP-C
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• Kristi Fu Stanton, MD

• Rehabilitation Chiropractor in League City, TX
• Providers in League City, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.