Organization Active NPI

Selman Group

  • Chiropractor
  • Groves, TX
National Provider Identifier
1356618797
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-6773 Issued in TX
Legal business name
SELMAN GROUP
Practice address
4633 Main Ave
Groves, TX 77619-4713
Phone
(409) 962-9222
Fax
(409) 962-9451
NPI assigned
Nov 30, 2011
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Thomas William Selman Jr., D.C.NPI 1588737647
Title
Owner
Phone
(409) 962-9222

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
Chiropractor 111N00000X DC-6773 TX Primary

Addresses

Primary practice location

4633 Main Ave
Groves, TX 77619-4713

Mailing address

4633 Main Ave
Groves, TX 77619-4713
Phone (409) 962-9222

Other identifiers 1

IdentifierTypeStateIssuer
001850901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000668 TX Part B Supplier - Clinic/Group Practice 0840452603 Receives reassigned benefits from 1 practitioner
Practice locations: Groves, TX

National Provider Directory

National Provider Directory

Locations

4633 Main Ave
Groves, TX 77619
Phone (409) 962-9222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1356618797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 MAIN AVE",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194713",
            "telephone_number": "409-962-9222",
            "fax_number": "409-962-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 MAIN AVE",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194713",
            "telephone_number": "409-962-9222",
            "fax_number": "409-962-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "SELMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-962-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC-6773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001850901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.