Active NPI
Nelson Emmanuel Mukoro, DC
- Chiropractor
- Houston, TX
National Provider Identifier
1124371893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12166
- Practice address
- 2600 S Loop W Ste 580
Houston, TX 77054-2604 - Phone
- (713) 419-1148
- Fax
- (713) 667-5712
- NPI assigned
- Oct 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12166 | TX | Primary |
Addresses
Primary practice location
2600 S Loop W Ste 580
Houston, TX 77054-2604
Mailing address
2818 Fir Crest CT
Stafford, TX 77477-6006
Phone (713) 419-1148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12166 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1124371893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 FIR CREST CT",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776006",
"telephone_number": "713-419-1148",
"fax_number": "713-667-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S LOOP W STE 580",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542604",
"telephone_number": "713-419-1148",
"fax_number": "713-667-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKORO",
"first_name": "NELSON",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.