Active NPI
Ingram Health Care, P.C.
- Chiropractor
- Canton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6688
- Legal business name
- INGRAM HEALTH CARE, P.C.
- Practice address
- 921 W Dallas St
Canton, TX 75103-1009 - Phone
- (903) 567-5579
- Fax
- (903) 567-5938
- NPI assigned
- Mar 26, 2007
- Last updated
- May 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristofer Todd Ingram, D.C.
- Title
- President
- Phone
- (903) 567-5579
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC6688 | TX | Primary |
Addresses
Primary practice location
921 W Dallas St
Canton, TX 75103-1009
Mailing address
921 W Dallas St
Canton, TX 75103-1009
Phone (903) 567-5579
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87390Y | Other | TX | BC BS |
| $$$$$$$$$ | Other | TX | SSN |
| 87391Y | Other | TX | BC BS |
| $$$$$$$$$ | Other | TX | SSN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1066981 | Ingram Health Care PC | Certificate of waiver | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
921 W Dallas St
Canton, TX 75103
Phone (903) 567-5579
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.
-
- Chiropractor
- Canton, TX
- NPI 1578651006
-
- Family Nurse Practitioner
- Canton, TX
- NPI 1932292612
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1366560575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W DALLAS ST",
"city": "CANTON",
"state": "TX",
"postal_code": "751031009",
"telephone_number": "903-567-5579",
"fax_number": "903-567-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W DALLAS ST",
"city": "CANTON",
"state": "TX",
"postal_code": "751031009",
"telephone_number": "903-567-5579",
"fax_number": "903-567-5938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INGRAM HEALTH CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-05-21",
"status": "A",
"authorized_official_last_name": "INGRAM",
"authorized_official_first_name": "KRISTOFER",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-567-5579",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC6688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "87390Y",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "87391Y",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, TX
- Sloan Hill, FNP-C
- Nancy Michelle Hobbs, MPT
- Nancy Elaine Holcek, PA
- Joseph Homer Hoot, D.D.S.
- Carlin Brae Hurst, FNP-C
- Ingram Integrated Healthcare PLLC
- Kristofer Todd Ingram, D.C.
- Tina Michelle Ingram, DC, FNP-C, DIPL.AC
- JL Miguez Inc Dba Newsound Hearing Centers (JL Miguez Inc dba Hear Life Hearing Care)
- JL Miguez Incorporated (Hear Life Hearing Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.