NPIMap

Organization Active NPI

Complete Bodywork and Wellness PLLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1356983712
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMPLETE BODYWORK AND WELLNESS PLLC
Practice address
1880 S Dairy Ashford Rd Ste 105
Houston, TX 77077-4759
Phone
(281) 870-1233
Fax
(281) 870-1037
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Dr. Shannon L Hickman, DC
Title
Owner/Provider
Phone
(281) 870-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1880 S Dairy Ashford Rd Ste 105
Houston, TX 77077-4759

Mailing address

1880 S Dairy Ashford Rd Ste 105
Houston, TX 77077-4759
Phone (281) 870-1233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1356983712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "281-870-1233",
            "fax_number": "281-870-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "281-870-1233",
            "fax_number": "281-870-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BODYWORK AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "281-870-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Oct 16, 2019; 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.