NPIMap

Organization Active NPI

PRP Chiropractic Services

Doing business as HealthSource of Baytown

  • Chiropractor
  • Baytown, TX
National Provider Identifier
1356782023
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8264 Issued in TX
Legal business name
PRP CHIROPRACTIC SERVICES
Doing business as
HealthSource of Baytown
Practice address
4520 S FM 565 Rd
Baytown, TX 77523-4884
Phone
(281) 383-0004
Fax
(281) 383-0007
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Richard Lee Puckett, D.C.NPI 1508953118
Title
Owner
Phone
(281) 383-0004

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 8264 TX Primary

Addresses

Primary practice location

4520 S FM 565 Rd
Baytown, TX 77523-4884

Mailing address

4520 S FM 565 Rd
Baytown, TX 77523-4884
Phone (281) 383-0004

Other names 1

  • HealthSource of Baytown Doing business as

National Provider Directory

National Provider Directory

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": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1356782023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 S FM 565 RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775234884",
            "telephone_number": "281-383-0004",
            "fax_number": "281-383-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 S FM 565 RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775234884",
            "telephone_number": "281-383-0004",
            "fax_number": "281-383-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRP CHIROPRACTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-383-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Baytown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.