Derbonne Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7124 Issued in TX

Legal business name

DERBONNE CHIROPRACTIC

Practice address

120 Highway 332 W Ste A4
Lake Jackson, TX 77566-4017

Phone

(979) 285-2663

Fax

(979) 285-2664

NPI assigned

Dec 30, 2009

Last updated

Dec 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Ray Derbonne, D.C.

Title

Owner

Phone

(979) 285-2663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1194055988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 332 W STE A4",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664017",
            "telephone_number": "979-285-2663",
            "fax_number": "979-285-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 332 W STE A4",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664017",
            "telephone_number": "979-285-2663",
            "fax_number": "979-285-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBONNE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "DERBONNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-285-2663",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Derbonne, D.C.
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• Brian Diaz
• Diep Pham DDS, Inc (Gulf Coast Dental)
• Digestive & Liver Center, PA

• Chiropractor in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.