Organization Active NPI

Eastside Family Chiropractic

Doing business as Accident & Injury Center

  • Physical Therapy Clinic/Center
  • Beaumont, TX
National Provider Identifier
1255539425
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
DC5419 Issued in TX
Legal business name
EASTSIDE FAMILY CHIROPRACTIC
Doing business as
Accident & Injury Center
Practice address
3282 College St
Beaumont, TX 77701-4610
Phone
(709) 838-7800
Fax
(409) 838-7810
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Steven J. Enabnit, D.C.
Title
Owner/Doctor
Phone
(409) 838-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X DC5419 TX Primary

Addresses

Primary practice location

3282 College St
Beaumont, TX 77701-4610

Mailing address

PO Box 23074
Beaumont, TX 77720-3074
Phone (409) 838-7800

Other identifiers 1

IdentifierTypeStateIssuer
8F7091OtherTXBLUE CROSS & BLUE SHIELD

Other names 1

  • Accident & Injury Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1255539425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23074",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777203074",
            "telephone_number": "409-838-7800",
            "fax_number": "409-838-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014610",
            "telephone_number": "709-838-7800",
            "fax_number": "409-838-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "ENABNIT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "409-838-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "DC5419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8F7091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.