Organization Active NPI

Magnolia Chiropractic Clinic, Inc.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1316062292
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4643 Issued in TX
Legal business name
MAGNOLIA CHIROPRACTIC CLINIC, INC.
Practice address
1212 Crosstimbers St
Houston, TX 77022-3910
Phone
(713) 923-4000
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Dr. Silvio Bruna, D.C.NPI 1063409217
Title
Vice-President
Phone
(713) 923-4000

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 DC4643 TX Primary

Addresses

Primary practice location

1212 Crosstimbers St
Houston, TX 77022-3910

Mailing address

1212 Crosstimbers St
Houston, TX 77022-3910
Phone (713) 923-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000465 TX Part B Supplier - Clinic/Group Practice 1951462696 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5011 N Shepherd Dr
Houston, TX 77018
Phone (713) 779-3991

1212 Crosstimbers St
Houston, TX 77022
Phone (713) 697-1827

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1316062292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CROSSTIMBERS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223910",
            "telephone_number": "713-923-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CROSSTIMBERS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223910",
            "telephone_number": "713-923-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BRUNA",
        "authorized_official_first_name": "SILVIO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "713-923-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4643",
            "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 Aug 25, 2008; 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.