Eastloop Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4119 Issued in TX

Legal business name

EASTLOOP CHIROPRACTIC CLINIC, INC.

Practice address

1140 Westmont Dr
547
Houston, TX 77015-4363

Phone

(713) 455-7074

Fax

(713) 455-5777

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debani F Munoz, CA

Title

Office Manager

Phone

(713) 455-7074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M Hallisey, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1346265618
  Medicare reassignment

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1275722092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 547",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154365",
            "telephone_number": "713-455-7074",
            "fax_number": "713-455-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "547",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-455-7074",
            "fax_number": "713-455-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLOOP CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "DEBANI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-455-7074",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.