Organization Active NPI

Wharton Chiropractic

Doing business as Lake Jackson Chiropractic

  • Chiropractor
  • Wharton, TX
National Provider Identifier
1396948626
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2516 Issued in TX
Legal business name
WHARTON CHIROPRACTIC
Doing business as
Lake Jackson Chiropractic
Practice address
806 N Fulton St
Wharton, TX 77488-3946
Phone
(979) 532-0261
Fax
(979) 532-2886
NPI assigned
Jun 6, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Billy M Winkles, D.C.NPI 1811909385
Title
Owner
Phone
(979) 532-0261

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC2516 TX Primary

Addresses

Primary practice location

806 N Fulton St
Wharton, TX 77488-3946

Mailing address

806 N Fulton St
Wharton, TX 77488-3946
Phone (979) 532-0261

Other identifiers 2

IdentifierTypeStateIssuer
4203977OtherTXAETNA
8984OXOtherTXBCBS

Other names 1

  • Lake Jackson Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

806 N Fulton St
Wharton, TX 77488
Phone (979) 532-0261

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1396948626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883946",
            "telephone_number": "979-532-0261",
            "fax_number": "979-532-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883946",
            "telephone_number": "979-532-0261",
            "fax_number": "979-532-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "WINKLES",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-0261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4203977",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8984OX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Jackson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.