Individual provider Active NPI

Alan W. Mitchell, D.C.

  • Chiropractor
  • Magnolia, TX
National Provider Identifier
1457409849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5987 Issued in TX
Practice address
31311 FM 2978 Rd
Suite 105
Magnolia, TX 77354-2305
Phone
(281) 356-5964
Fax
(281) 356-5968
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5987 TX Primary

Addresses

Primary practice location

31311 FM 2978 Rd
Suite 105
Magnolia, TX 77354-2305

Mailing address

31615 Montano CT
Magnolia, TX 77354-2318
Phone (281) 356-5964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457409849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31615 MONTANO CT",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542318",
            "telephone_number": "281-356-5964",
            "fax_number": "281-356-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31311 FM 2978 RD",
            "address_2": "SUITE 105",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542305",
            "telephone_number": "281-356-5964",
            "fax_number": "281-356-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALAN",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.