Organization Active NPI

Chirosports Performance & Rehab

  • Rehabilitation Chiropractor
  • Houston, TX
National Provider Identifier
1265058473
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CHIROSPORTS PERFORMANCE & REHAB
Practice address
1225 North Loop W Ste 1010
Houston, TX 77008-4722
Phone
(832) 586-7183
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Dwane Davis
Title
President
Phone
(832) 586-7183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

1225 North Loop W Ste 1010
Houston, TX 77008-4722

Mailing address

4305 Glenwood Ave Apt 1003
Deer Park, TX 77536-5779
Phone (832) 556-3652

National Provider Directory

National Provider Directory

Locations

1225 North Loop W
Ste 1010
Houston, TX 77008
Phone (832) 586-7183

1420 Preston Ave
Ste G
Pasadena, TX 77503
Phone (512) 456-8516

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1265058473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 GLENWOOD AVE APT 1003",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775365779",
            "telephone_number": "832-556-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NORTH LOOP W STE 1010",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084722",
            "telephone_number": "832-586-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROSPORTS PERFORMANCE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-09-06",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DWANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-586-7183",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.