Organization Active NPI

Dickinson Family Chiropractic, PLLC

  • Chiropractor
  • Tomball, TX
National Provider Identifier
1376813998
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11730 Issued in TX
Legal business name
DICKINSON FAMILY CHIROPRACTIC, PLLC
Practice address
28105 Tomball Pkwy
Suite 106a
Tomball, TX 77375-3340
Phone
(832) 341-7047
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Courtney Brooke Dickinson, D.C.
Title
Chiropractor
Phone
(832) 341-7047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11730 TX Primary

Addresses

Primary practice location

28105 Tomball Pkwy
Suite 106a
Tomball, TX 77375-3340

Mailing address

28105 Tomball Pkwy
Suite 106a
Tomball, TX 77375-3340
Phone (832) 341-7047

Other identifiers 1

IdentifierTypeStateIssuer
1437428174OtherTXNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

28105 Tomball Pkwy
#106A
Tomball, TX 77375
Phone (281) 255-3500

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1376813998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28105 TOMBALL PKWY",
            "address_2": "SUITE 106A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753340",
            "telephone_number": "832-341-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28105 TOMBALL PKWY",
            "address_2": "SUITE 106A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753340",
            "telephone_number": "832-341-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "832-341-7047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437428174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

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