Active NPI
John Park
- Chiropractor
- Houston, TX
National Provider Identifier
1467759324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8857
- Practice address
- 256 N Sam Houston Pkwy E
Houston, TX 77060-2008 - Phone
- (281) 685-0458
- NPI assigned
- Feb 11, 2011
- Last updated
- Feb 11, 2011
- Sex
- Male
- 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 | 8857 | TX | Primary |
Addresses
Primary practice location
256 N Sam Houston Pkwy E
Houston, TX 77060-2008
Mailing address
256 N Sam Houston Pkwy E
Houston, TX 77060-2008
Phone (281) 685-0458
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8857 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1467759324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 N SAM HOUSTON PKWY E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602008",
"telephone_number": "281-685-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 N SAM HOUSTON PKWY E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602008",
"telephone_number": "281-685-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.