Organization Active NPI

Hickory Creek Rehab and Chiropractic

  • Chiropractor
  • Hickory Creek, TX
National Provider Identifier
1417228768
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11640 Issued in TX
Legal business name
HICKORY CREEK REHAB AND CHIROPRACTIC
Practice address
3630 FM 2181
120
Hickory Creek, TX 75065-7646
Phone
(940) 497-7246
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Noel Ernesto Mairena, D.C.NPI 1972808533
Title
Chiropractor
Phone
(903) 306-9640

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
Chiropractor 111N00000X 11640 TX Primary

Addresses

Primary practice location

3630 FM 2181
120
Hickory Creek, TX 75065-7646

Mailing address

3630 FM 2181
120
Hickory Creek, TX 75065-7646
Phone (940) 497-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1417228768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 FM 2181",
            "address_2": "120",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657646",
            "telephone_number": "940-497-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 FM 2181",
            "address_2": "120",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657646",
            "telephone_number": "940-497-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY CREEK REHAB AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MAIRENA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "903-306-9640",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Creek, TX

Sources for this page

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