Individual provider Active NPI

Sonja Re Callarman-Redden, D.C.

  • Nutrition Chiropractor
  • Humble, TX
National Provider Identifier
1467593301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC9001 Issued in TX
Practice address
36 Wilson Rd
Humble, TX 77338-3922
Phone
(281) 812-4325
Fax
(281) 446-4324
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

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
Nutrition Chiropractor 111NN1001X DC9001 TX Primary

Addresses

Primary practice location

36 Wilson Rd
Humble, TX 77338-3922

Mailing address

36 Wilson Rd
Humble, TX 77338-3922
Phone (281) 812-4325

Other identifiers 1

IdentifierTypeStateIssuer
606648OtherTXBCBS OF TX

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

State licenses

LicenseStateTypeSpecialty
DC9001TXMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467593301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WILSON RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383922",
            "telephone_number": "281-812-4325",
            "fax_number": "281-446-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WILSON RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383922",
            "telephone_number": "281-812-4325",
            "fax_number": "281-446-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLARMAN-REDDEN",
        "first_name": "SONJA",
        "middle_name": "RE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "DC9001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "606648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, 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.