Individual provider Active NPI

Steve Wascom, DC

  • Sports Physician Chiropractor
  • Houston, TX
National Provider Identifier
1114642824
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
15321 Issued in TX
Practice address
1533 N Shepherd Dr Ste 240
Houston, TX 77008-4185
Phone
(832) 831-8656
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 15321 TX Primary

Addresses

Primary practice location

1533 N Shepherd Dr Ste 240
Houston, TX 77008-4185

Mailing address

3101 College Park Dr
Conroe, TX 77384-4099
Phone (281) 362-0006

Other practice location 1

2202 La Branch St
Houston, TX 77002-8934
Phone (713) 652-4052

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL IMS HOUSTON SPINE & REHABILITATION CENTERS

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

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1114642824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 COLLEGE PARK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844099",
            "telephone_number": "281-362-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N SHEPHERD DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084185",
            "telephone_number": "832-831-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 La Branch St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028934",
            "country_code": "US",
            "telephone_number": "713-652-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASCOM",
        "first_name": "STEVE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "15321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "IMS",
            "affiliation": "Y",
            "affiliationName": "HOUSTON SPINE & REHABILITATION CENTERS",
            "address_1": "2202 La Branch St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770028934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 23, 2023; 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.