NPIMap

Organization Active NPI

Mid County Chiropractic Clinic

  • Chiropractor
  • Port Neches, TX
National Provider Identifier
1194901207
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5180 Issued in TX
Legal business name
MID COUNTY CHIROPRACTIC CLINIC
Practice address
2721 Nall St
Port Neches, TX 77651-5222
Phone
(409) 727-1609
Fax
(409) 727-2920
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Douglas L Nelson, D.C.NPI 1740261056
Title
Doctor
Phone
(409) 727-1609

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC5180 TX Primary

Addresses

Primary practice location

2721 Nall St
Port Neches, TX 77651-5222

Mailing address

2721 Nall St
Port Neches, TX 77651-5222
Phone (409) 727-1609

National Provider Directory

National Provider Directory

Locations

2721 Nall St
Port Neches, TX 77651
Phone (409) 724-3007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1194901207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515222",
            "telephone_number": "409-727-1609",
            "fax_number": "409-727-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515222",
            "telephone_number": "409-727-1609",
            "fax_number": "409-727-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID COUNTY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "409-727-1609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.