Organization Active NPI

Marilyn de Freitas LLC

  • Chiropractor
  • Katy, TX
National Provider Identifier
1245966761
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARILYN DE FREITAS LLC
Doing business as
Arise Family Chiropractic
Practice address
2206 Katy Flewellen Rd Ste 6
Katy, TX 77494-7976
Phone
(281) 723-9669
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dr. Marilyn De Freitas, DCNPI 1174258172
Title
Owner, Provider, Ao
Phone
(281) 723-9669

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 Primary

Addresses

Primary practice location

2206 Katy Flewellen Rd Ste 6
Katy, TX 77494-7976

Mailing address

2206 Katy Flewellen Rd Ste 6
Katy, TX 77494-7976
Phone (281) 723-9669

Other names 1

  • Arise Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107001070 TX Part B Supplier - Clinic/Group Practice 2365819265 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

2206 Katy Flewellen Rd
Ste 6
Katy, TX 77494
Phone (281) 723-9669

2206 Katy Flewellen Rd
Ste F
Katy, TX 77494
Phone (281) 769-6160

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1245966761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 KATY FLEWELLEN RD STE 6",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947976",
            "telephone_number": "281-723-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 KATY FLEWELLEN RD STE 6",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947976",
            "telephone_number": "281-723-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN DE FREITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "DE FREITAS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER, PROVIDER, AO",
        "authorized_official_telephone_number": "281-723-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.