NPIMap

Organization Active NPI

Country Place Chiropractic Health & Wellness

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1396862066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9793 Issued in TX
Legal business name
COUNTRY PLACE CHIROPRACTIC HEALTH & WELLNESS
Practice address
1801 Country Place Pkwy
113
Pearland, TX 77584-5120
Phone
(713) 436-8346
Fax
(713) 436-8356
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen Susan Cullinane, D.C.NPI 1841207479
Title
President
Phone
(713) 436-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9793 TX Primary

Addresses

Primary practice location

1801 Country Place Pkwy
113
Pearland, TX 77584-5120

Mailing address

1801 Country Place Pkwy
113
Pearland, TX 77584-5120
Phone (713) 436-8346

Other identifiers 1

IdentifierTypeStateIssuer
0076MUOtherTXBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

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.

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": "1598054400000",
    "number": "1396862066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COUNTRY PLACE PKWY",
            "address_2": "113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845120",
            "telephone_number": "713-436-8346",
            "fax_number": "713-436-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COUNTRY PLACE PKWY",
            "address_2": "113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845120",
            "telephone_number": "713-436-8346",
            "fax_number": "713-436-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PLACE CHIROPRACTIC HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLINANE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-436-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0076MU",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.