Individual provider Active NPI

Rheagan Khrisha Mulder, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1124343322
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11430 Issued in TX
Practice address
1600 Smith St Ste 4225
Houston, TX 77002-7348
Phone
(713) 652-9777
Fax
(713) 651-0584
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11430 TX Primary

Addresses

Primary practice location

1600 Smith St Ste 4225
Houston, TX 77002-7348

Mailing address

548 El Dorado Blvd
Webster, TX 77598-2202
Phone (281) 286-8520

Other names 1

  • Rheagan Gaskamp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001153 TX Practitioner - Chiropractic 1557601937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 E Academy St
Brenham, TX 77833-3220
Phone (979) 451-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health and Wellness PLLC Chiropractor CurrentSince Nov 16, 2018 Accepting new patients
K-Bear, Inc. Chiropractor Past Accepting new patients
Koala Health & Wellness Centers Inc. Chiropractor Past Accepting new patients

Locations

301 E Academy St
Brenham, TX 77833
Phone (979) 451-9111

Organizations & group practices 3

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1124343322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 EL DORADO BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982202",
            "telephone_number": "281-286-8520",
            "fax_number": "281-286-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SMITH ST STE 4225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770027348",
            "telephone_number": "713-652-9777",
            "fax_number": "713-651-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "RHEAGAN",
        "middle_name": "KHRISHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHEAGAN",
            "last_name": "GASKAMP",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.