Individual provider Active NPI

Charlsie Prein, DC

  • Chiropractor
  • Montgomery, TX
National Provider Identifier
1356815666
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14017 Issued in TX
Practice address
21370 Shannon Cir Ste a
Montgomery, TX 77316-2685
Phone
(832) 943-4778
NPI assigned
Jan 20, 2019
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14017 TX Primary

Addresses

Primary practice location

21370 Shannon Cir Ste a
Montgomery, TX 77316-2685

Mailing address

21370 Shannon Cir Ste a
Montgomery, TX 77316-2685
Phone (281) 630-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14017TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Marshall Medical, PLLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

6910 FM 1488 Rd
Ste 3
Magnolia, TX 77354
Phone (281) 630-3836

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1356815666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21370 SHANNON CIR STE A",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162685",
            "telephone_number": "281-630-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 SHANNON CIR STE A",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162685",
            "telephone_number": "832-943-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREIN",
        "first_name": "CHARLSIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.