Organization Active NPI

Rowland Chiropractic Clinic, PC

  • Clinic/Center
  • Odessa, TX
National Provider Identifier
1124408414
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8532 Issued in TX
Legal business name
ROWLAND CHIROPRACTIC CLINIC, PC
Practice address
3952 E 42ND St
Ste J
Odessa, TX 79762-5932
Phone
(432) 617-4564
Fax
(462) 617-4565
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Edward Rowland, DCNPI 1518028190
Title
President
Phone
(432) 617-4564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8532 TX Primary

Addresses

Primary practice location

3952 E 42ND St
Ste J
Odessa, TX 79762-5932

Mailing address

3952 E 42ND St
Ste J
Odessa, TX 79762-5932
Phone (432) 617-4564

Other identifiers 1

IdentifierTypeStateIssuer
TXB155029OtherTXPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028001087 TX Part B Supplier - Clinic/Group Practice 5890004188 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2081355Rowland Chiropractic Clinic PC3952 E 42ND St Ste J, Odessa, TX 79762Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

3952 E 42nd St
Ste J
Odessa, TX 79762
Phone (432) 617-4564

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1124408414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 E 42ND ST",
            "address_2": "STE J",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625932",
            "telephone_number": "432-617-4564",
            "fax_number": "462-617-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 E 42ND ST",
            "address_2": "STE J",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625932",
            "telephone_number": "432-617-4564",
            "fax_number": "462-617-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWLAND CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-617-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "8532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB155029",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.