Active NPI
Memorial Chiropractic Clinic, Inc
- Chiropractor
- Houston, TX
National Provider Identifier
1124270798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MEMORIAL CHIROPRACTIC CLINIC, INC
- Practice address
- 12421 Memorial Dr
Houston, TX 77024-6131 - Phone
- (713) 467-5367
- Fax
- (713) 467-0937
- NPI assigned
- Oct 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Christie, D.C.
- Title
- Owner
- Phone
- (713) 467-5367
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
12421 Memorial Dr
Houston, TX 77024-6131
Mailing address
12421 Memorial Dr
Houston, TX 77024-6131
Phone (713) 467-5367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31EM | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12421 Memorial Dr
Houston, TX 77024
Phone (713) 467-5367
815 Walker St
Ste T22
Houston, TX 77002
Phone (713) 222-6000
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Houston, TX
- NPI 1588734503
-
- Chiropractor
- Houston, TX
- NPI 1194855601
-
- Chiropractor
- Houston, TX
- NPI 1831228493
-
- Chiropractor
- Houston, TX
- NPI 1063541621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1124270798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12421 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246131",
"telephone_number": "713-467-5367",
"fax_number": "713-467-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12421 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246131",
"telephone_number": "713-467-5367",
"fax_number": "713-467-0937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL CHIROPRACTIC CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-467-5367",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31EM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Memorial Ankle and Foot Institute
- Memorial Bone & Joint Clinic LLP
- Memorial Brain and Behavior Center
- Memorial Cardiology Associates PA
- Memorial Child & Family Counseling
- Memorial City Emergency Center LLC
- Memorial City Emergency Physicians, LLP
- Memorial City Neuro Diagnostic
- Memorial City Neurology PA
- Memorial City Plastic Surgery PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.