Individual provider Active NPI

Martha Manzanarez, DC

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1417456377
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13723 Issued in TX
Practice address
3303 W Davis St
Conroe, TX 77304-1862
Phone
(936) 441-9990
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 13723 TX
Chiropractor 111N00000X 13723 TX Primary

Addresses

Primary practice location

3303 W Davis St
Conroe, TX 77304-1862

Mailing address

5927 Annunciation St
Houston, TX 77016-1709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312000121 TX Practitioner - Chiropractic 7416218383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodgers Stein Chiropractic, P.a.Group PAC ID 2062475973, 4 clinicians

Practice addresses (Care Compare)

3303 W Davis St
Conroe, TX 77034-3630
Phone (936) 441-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13723TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rodgers Stein Chiropractic, P.a. Chiropractor CurrentSince Feb 15, 2018 Accepting new patients
Rodgers Stein Chiropractic - Huntsv Chiropractor Past Accepting new patients

Locations

3303 W Davis St
Conroe, TX 77304
Phone (936) 441-9990

152 Col Etheredge Blvd
Ste 405
Huntsville, TX 77340
Phone (936) 400-5550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1417456377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 ANNUNCIATION ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770161709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041862",
            "telephone_number": "936-441-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANAREZ",
        "first_name": "MARTHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "13723",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.

Verify at the official NPI Registry.