Active NPI
Ondracek Chiropractic
- Chiropractor
- Conroe, TX
National Provider Identifier
1174700181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5282
- Legal business name
- ONDRACEK CHIROPRACTIC
- Practice address
- 611 W Davis St
Conroe, TX 77301-2702 - Phone
- (936) 760-3332
- Fax
- (936) 760-3223
- NPI assigned
- Jan 22, 2008
- Last updated
- Sep 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Milton Ondracek, D.C.
- Title
- Director
- Phone
- (936) 760-3332
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5282 | TX | Primary |
Addresses
Primary practice location
611 W Davis St
Conroe, TX 77301-2702
Mailing address
611 W Davis St
Conroe, TX 77301-2702
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088410801 | Medicaid | TX | |
| Y02656 | Other | UPIN | |
| 603268 | Other | UT | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
611 W Davis St
Conroe, TX 77301
Phone (936) 760-3332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Conroe, TX
- NPI 1962586008
-
- Chiropractor
- Conroe, TX
- NPI 1528263605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251936000000",
"number": "1174700181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W DAVIS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773012702",
"fax_number": "936-760-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W DAVIS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773012702",
"telephone_number": "936-760-3332",
"fax_number": "936-760-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONDRACEK CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2009-09-03",
"status": "A",
"authorized_official_last_name": "ONDRACEK",
"authorized_official_first_name": "MILTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "936-760-3332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "5282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088410801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "Y02656",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "603268",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.