Active NPI
Tracey Lynn McIntyre, DC
- Chiropractor
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9989
- Practice address
- 1819 Broadway St
Suite 101
Pearland, TX 77581-5670 - Phone
- (281) 993-9333
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9989 | TX | Primary |
Addresses
Primary practice location
1819 Broadway St
Suite 101
Pearland, TX 77581-5670
Mailing address
1819 Broadway St
Suite 101
Pearland, TX 77581-5670
Phone (281) 993-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1819 Broadway St
Suite 101
Pearland, TX 77581-5671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9989 | TX | MD | Marriage & Family Therapist |
| 9983 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Physicians Healthcare PLLC | Current | Accepting new patients |
Locations
1819 Broadway St
Ste 10
Pearland, TX 77581
1819 Broadway St
Ste 101
Pearland, TX 77581
Phone (281) 993-2003
1819 Broadway St
Ste AND102
Pearland, TX 77581
1819 Broadway St
Pearland, TX 77581
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Pearland, TX
- NPI 1972907897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1437211695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 BROADWAY ST",
"address_2": "SUITE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815670",
"telephone_number": "281-993-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 BROADWAY ST",
"address_2": "SUITE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815670",
"telephone_number": "281-993-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "TRACEY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.