NPIMap

Organization Active NPI

Physician's Chiropractic Services, Inc

Doing business as The Conklin Clinic

  • Chiropractor
  • Channelview, TX
National Provider Identifier
1417078262
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6146 Issued in TX
Legal business name
PHYSICIAN'S CHIROPRACTIC SERVICES, INC
Doing business as
The Conklin Clinic
Practice address
15055 East Fwy
Suite C10
Channelview, TX 77530-4144
Phone
(281) 862-0800
Fax
(281) 862-0835
NPI assigned
Apr 2, 2007
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. Philip Daniel Conklin, D.C.NPI 1629152962
Title
President
Phone
(281) 862-0800

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
Chiropractor 111N00000X 6146 TX Primary

Addresses

Primary practice location

15055 East Fwy
Suite C10
Channelview, TX 77530-4144

Mailing address

15055 East Fwy
Suite C10
Channelview, TX 77530-4144
Phone (281) 862-0800

Other identifiers 1

IdentifierTypeStateIssuer
0089PLOtherTXBCBS GROUP#

Other names 1

  • The Conklin Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

15055 East Fwy
Ste C10
Channelview, TX 77530
Phone (281) 452-3547

Practitioners & affiliated clinicians

Practitioners 3

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1417078262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE C10",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-862-0800",
            "fax_number": "281-862-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE C10",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-862-0800",
            "fax_number": "281-862-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S CHIROPRACTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-862-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "0089PL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Conklin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Channelview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.