Active NPI
Christopher J. Pulido, D.C.
- Chiropractor
- League City, TX
National Provider Identifier
1477630770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8474
- Practice address
- 3023 Marina Bay Dr
Suite 104
League City, TX 77573-2882 - Phone
- (281) 538-0878
- Fax
- (281) 535-3550
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 8474 | TX | Primary |
Addresses
Primary practice location
3023 Marina Bay Dr
Suite 104
League City, TX 77573-2882
Mailing address
3023 Marina Bay Dr
Suite 104
League City, TX 77573-2882
Phone (281) 538-0878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090NA | Other | TX | BLUE CROSS / BLUE SHIELD |
| 8S7578 | Other | TX | BLUE CROSS / BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8474 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1477630770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 MARINA BAY DR",
"address_2": "SUITE 104",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732882",
"telephone_number": "281-538-0878",
"fax_number": "281-535-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 MARINA BAY DR",
"address_2": "SUITE 104",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732882",
"telephone_number": "281-538-0878",
"fax_number": "281-535-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULIDO",
"first_name": "CHRISTOPHER",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "0090NA",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "8S7578",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.