Prime Spine Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIME SPINE CHIROPRACTIC PLLC

Doing business as

HealthSource Chiropractic, Inc.

Practice address

12315 Westheimer Rd Ste a
Houston, TX 77077-6065

Phone

(713) 836-8001

NPI assigned

May 17, 2019

Last updated

May 17, 2019By 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

Mrs. Shirin Maghsoudi, DCNPI 1619234796

Title

Chiropractor/Operation Manager

Phone

(713) 836-8001

Specialties & licenses 1

Addresses

Other names 1

• HealthSource Chiropractic, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Shirin Maghsoudi, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1619234796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1225694995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 NOBLEWOOD BND",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822753",
            "telephone_number": "713-836-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 WESTHEIMER RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776065",
            "telephone_number": "713-836-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SPINE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDI",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OPERATION MANAGER",
        "authorized_official_telephone_number": "713-836-8001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Med EMS Inc (Prime Med EMS)
• Prime Medical Group LLC (Prime Medical Clinic)
• Prime Orthopedic PLLC
• Prime PHC Inc (Prime Pharmacy)
• Prime Physicians PA
• Prime Surgitech LLC
• Prime Therapy LLC (PrimeKids Therapy)
• Prime Value Home Care LLC
• Primeage Health Sevices , Inc
• Primecare Castle LLC (Brighthaven and SecureTech Solutions)

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.