Individual provider Active NPI

David Dewey Higginbotham, D.C.

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1154402386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5328 Issued in TX
Practice address
4416 Fairmont Pkwy
Ste. 109
Pasadena, TX 77504-3327
Phone
(281) 487-4700
Fax
(281) 487-4750
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5328 TX Primary

Addresses

Primary practice location

4416 Fairmont Pkwy
Ste. 109
Pasadena, TX 77504-3327

Mailing address

4416 Fairmont Pkwy
Suite 109
Pasadena, TX 77504-3327
Phone (281) 487-4700

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

State licenses

LicenseStateTypeSpecialty
DC5328TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154402386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 FAIRMONT PKWY",
            "address_2": "SUITE 109",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043327",
            "telephone_number": "281-487-4700",
            "fax_number": "281-487-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 FAIRMONT PKWY",
            "address_2": "STE. 109",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043327",
            "telephone_number": "281-487-4700",
            "fax_number": "281-487-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "DAVID",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.