Organization Active NPI

Innategirl Chiropractic Care, PLLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1295280709
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8763 Issued in TX
Legal business name
INNATEGIRL CHIROPRACTIC CARE, PLLC
Practice address
1120 Nasa Pkwy Ste 644
Houston, TX 77058-2818
Phone
(409) 539-1589
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Geneva Leann Ricano, DCNPI 1275748279
Title
Owner
Phone
(409) 539-1589

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 8763 TX Primary

Addresses

Primary practice location

1120 Nasa Pkwy Ste 644
Houston, TX 77058-2818

Mailing address

1120 Nasa Pkwy Ste 644
Houston, TX 77058-2818
Phone (409) 539-1589

Other names 1

  • EDGEWATER HEALING ARTS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161230000045 TX Part B Supplier - Clinic/Group Practice 8729369905 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

18096 Kings Row
Ste G
Houston, TX 77058
Phone (409) 539-1589

1120 Nasa Pkwy
Ste 644
Houston, TX 77058
Phone (409) 539-1589

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": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1295280709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY STE 644",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582818",
            "telephone_number": "409-539-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY STE 644",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582818",
            "telephone_number": "409-539-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATEGIRL CHIROPRACTIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-03-14",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "RICANO",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-539-1589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGEWATER HEALING ARTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDGEWATER HEALING ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 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.