NPIMap

Organization Active NPI

Alden Bridge Chiropratic Center PA

  • Chiropractor
  • Spring, TX
National Provider Identifier
1235319674
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6976 Issued in TX
Legal business name
ALDEN BRIDGE CHIROPRATIC CENTER PA
Practice address
25802 Interstate 45
Suite a
Spring, TX 77386-1032
Phone
(281) 367-8101
Fax
(281) 367-8209
NPI assigned
Nov 13, 2007
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Dennis Michael Cianciulli Jr., D.C.NPI 1932261344
Title
President
Phone
(281) 367-8101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6976 TX Primary

Addresses

Primary practice location

25802 Interstate 45
Suite a
Spring, TX 77386-1032

Mailing address

25802 Interstate 45
Suite a
Spring, TX 77386-1032
Phone (281) 367-8101

Other identifiers 2

IdentifierTypeStateIssuer
DF2635OtherTXMEDICARE RR
0010HDOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

25802 Interstate 45 N
Ste A
Spring, TX 77386
Phone (936) 321-9900

8000 Research Forest Dr
Ste 120
The Woodlands, TX 77382
Phone (281) 367-8101

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1235319674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25802 INTERSTATE 45",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861032",
            "telephone_number": "281-367-8101",
            "fax_number": "281-367-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25802 INTERSTATE 45",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861032",
            "telephone_number": "281-367-8101",
            "fax_number": "281-367-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN BRIDGE CHIROPRATIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CIANCIULLI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-367-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF2635",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0010HD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.