Christopher Cody Chandler, D.C.
Individual provider Active NPI Chiropractor · Whitehouse, TX
NPI 1306015276 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1306015276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10817 (TX)
- Practice address
- 403 State Highway 110 N
Whitehouse, TX 75791-3109 - Phone
- (903) 839-1000
- Fax
- (903) 839-4000
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10817 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carefirst Medical Associates and Pain Rehabilitation, PA | Chiropractor | Past | Accepting new patients |
| Trinity Mobility, LLC | Past |
Accepting new patients | |
| Advanta Labs, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10817 | TX | Yes |
Addresses
Primary practice location
403 State Highway 110 N
Whitehouse, TX 75791-3109
Mailing address
403 State Highway 110 N
Whitehouse, TX 75791-3109
Phone (903) 839-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V0492 | Other | TX | BCBSTX |
| 1306015276 | Other | TX | BCBSTX |
| 663172 | Other | TX | STERLING MEDICARE ADVANTAGE |
Other providers in Whitehouse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.