Active NPI
Jehan Mansour Baba, DC
- Chiropractor
- Pasadena, TX
National Provider Identifier
1164099347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14662
- Practice address
- 5915 Bogie Way
Pasadena, TX 77505-3040 - Phone
- (281) 515-1026
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 14662 | TX | Primary |
Addresses
Primary practice location
5915 Bogie Way
Pasadena, TX 77505-3040
Mailing address
5915 Bogie Way
Pasadena, TX 77505-3040
Phone (281) 515-1026
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14662 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1164099347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 BOGIE WAY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053040",
"telephone_number": "281-515-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 BOGIE WAY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053040",
"telephone_number": "281-515-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABA",
"first_name": "JEHAN",
"middle_name": "MANSOUR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14662",
"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 Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.