Individual provider Active NPI

Chad Duchon, D. C.

  • Chiropractor
  • Galveston, TX
National Provider Identifier
1437263142
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8210 Issued in TX
Practice address
2724 61St St Ste 5
Galveston, TX 77551-1800
Phone
(409) 744-9355
Fax
(409) 744-9356
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8210 TX Primary

Addresses

Primary practice location

2724 61St St Ste 5
Galveston, TX 77551-1800

Mailing address

4926 S Glen LN
League City, TX 77573-6285
Phone (281) 554-6855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000667 TX Practitioner - Chiropractic 9335159904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galveston Physical Medicine PLLCGroup PAC ID 1557519741, 3 clinicians

Practice addresses (Care Compare)

2724 61St St
Suite 5
Galveston, TX 77551-1800
Phone (409) 744-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8210TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Galveston Physical Medicine PLLC CurrentSince Jun 30, 2014 Accepting new patients

Locations

2724 61st St
Ste 5
Galveston, TX 77551
Phone (409) 744-9355

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1437263142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 S GLEN LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736285",
            "telephone_number": "281-554-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 61ST ST STE 5",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511800",
            "telephone_number": "409-744-9355",
            "fax_number": "409-744-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHON",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.