Active NPI
Timonia Marizdelle Buchanan, DC
- Chiropractor
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15226
- Practice address
- 12155 Shadow Creek Pkwy Ste 115
Pearland, TX 77584-7289 - Phone
- (832) 243-4353
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15226 | TX | Primary |
Addresses
Primary practice location
12155 Shadow Creek Pkwy Ste 115
Pearland, TX 77584-7289
Mailing address
12325 Shadow Creek Pkwy Apt 16209
Pearland, TX 77584-7436
Phone (561) 889-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3615 S Houston Levee Rd
Suite 110
Collierville, TN 38017-9173
Phone 90122171735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3727 | TN | MD | Clinical Psychologist |
| 15226 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Chiropractic Clinic, LLC | Chiropractor | Current | Accepting new patients |
| The Chiro Place of Collierville PLLC | Chiropractor | Current | Accepting new patients |
| The Chiro Place PLLC | Chiropractor | Past | Accepting new patients |
| The Chiro Place of Douglasville PC | Chiropractor | Past | Accepting new patients |
| The Chiro Place of Midtown PLLC | Chiropractor | Past | Accepting new patients |
Locations
8101 Hacks Cross Rd
Ste 110
Olive Branch, MS 38654
2690 Kirby Whitten Rd
Ste 109
Bartlett, TN 38133
Phone (901) 217-7173
3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173
3179 Poplar Ave
Memphis, TN 38111
Phone (901) 221-7173
12155 Shadow Creek Pkwy
Ste 115
Pearland, TX 77584
Phone (832) 243-4353
Organizations & group practices 5
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.
-
- Chiropractor
- Collierville, TN
- NPI 1609234657
-
- Chiropractor
- Pearland, TX
- NPI 1609212745
-
- Chiropractor
- Douglasville, GA
- NPI 1043098817
-
- Chiropractor
- Memphis, TN
- NPI 1811466279
-
- Chiropractor
- Collierville, TN
- NPI 1013397181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1396441564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 SHADOW CREEK PKWY APT 16209",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847436",
"telephone_number": "561-889-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12155 SHADOW CREEK PKWY STE 115",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847289",
"telephone_number": "832-243-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "TIMONIA",
"middle_name": "MARIZDELLE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.