La Grange Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F002082 Issued in TX

Legal business name

LA GRANGE CHIROPRACTIC CLINIC PA

Practice address

250 E Colorado St
La Grange, TX 78945-2244

Phone

(979) 968-3340

Fax

(979) 968-6630

NPI assigned

Oct 5, 2006

Last updated

Apr 4, 2012By 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

Ms. Barbara Eilert, CA

Title

Office Manager

Phone

(979) 968-3340

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Michael Dennis Fitzpatrick, D.C.

  • Chiropractor
  • Waller, TX
  • NPI 1982852869
  Medicare reassignment
• Timothy Bolton, D.C.

  • Chiropractor
  • College Station, TX
  • NPI 1083807614
  NPD (past)
• Jarrod Lynn Hinze, D.C.

  • Chiropractor
  • Columbus, TX
  • NPI 1518777135
  NPD (past)
• Kellie Lynette Kulow, D.C.

  • Chiropractor
  • Brenham, TX
  • NPI 1043229032
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1194811364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E COLORADO ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452244",
            "telephone_number": "979-968-3340",
            "fax_number": "979-968-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E COLORADO ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452244",
            "telephone_number": "979-968-3340",
            "fax_number": "979-968-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GRANGE CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "EILERT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-968-3340",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F002082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "00L41L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Roberts Family Dentistry PA (Cornerstone Dental)
• Sarah Kellen, FNP-C
• Kristen Kinney, FNP
• Kelly Knape
• L & R Pharmacy Inc (Winns Discount Pharmacy)
• La Grange Eye Care, PLLC
• La Grange Independent School District
• La Grange Internal Medicine
• Lagrange Smile Care PLLC
• Lagrange-True Texas Emergency Physicians PLLC

• Chiropractor in La Grange, TX
• Providers in La Grange, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.

Verify at the official NPI Registry.