Active NPI
Peggy J Bolks, DC
- Orthopedic Chiropractor
- Spring, TX
National Provider Identifier
1417954033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 7099
- Practice address
- 18468 Kuykendahl Rd
Spring, TX 77379-8123 - Phone
- (281) 651-0220
- Fax
- (281) 288-6100
- NPI assigned
- Jun 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 7099 | TX | Primary |
Addresses
Primary practice location
18468 Kuykendahl Rd
Spring, TX 77379-8123
Mailing address
18468 Kuykendahl Rd
Spring, TX 77379-8123
Phone (281) 651-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111228000219 | TX | Practitioner - Chiropractic | 9830365691 | Practice locations: Spring, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5527 Louetta Rd
Suite a
Spring, TX 77379-7882
Phone (281) 651-0220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7099 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1417954033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18468 KUYKENDAHL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773798123",
"telephone_number": "281-651-0220",
"fax_number": "281-288-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18468 KUYKENDAHL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773798123",
"telephone_number": "281-651-0220",
"fax_number": "281-288-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLKS",
"first_name": "PEGGY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-29",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "7099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.