Organization Active NPI

Dolezal Chiropractic & Rehabilitation Professional Assoc

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1235329509
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6537 Issued in TX
Legal business name
DOLEZAL CHIROPRACTIC & REHABILITATION PROFESSIONAL ASSOC
Practice address
5202 Weber Rd
Suite B
Corpus Christi, TX 78411
Phone
(361) 852-4593
Fax
(361) 852-0062
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
David Dwayne Dolezal, DCNPI 1578661047
Title
Owner
Phone
(361) 852-4593

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 6537 TX Primary

Addresses

Primary practice location

5202 Weber Rd
Suite B
Corpus Christi, TX 78411

Mailing address

PO Box 270967
Corpus Christi, TX 78427-0967
Phone (361) 852-4593

Other identifiers 1

IdentifierTypeStateIssuer
088479302MedicaidTX

National Provider Directory

National Provider Directory

Locations

5202 Weber Rd
Ste B
Corpus Christi, TX 78411
Phone (361) 852-4593

Practitioners & affiliated clinicians

Practitioners 1

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1235329509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270967",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784270967",
            "telephone_number": "361-852-4593",
            "fax_number": "361-852-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 WEBER RD",
            "address_2": "SUITE B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-852-4593",
            "fax_number": "361-852-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLEZAL CHIROPRACTIC & REHABILITATION PROFESSIONAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-852-4593",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088479302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.