Organization Active NPI

The Woodlands Integrative Med. Assoc.

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1477676534
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9081 Issued in TX
Legal business name
THE WOODLANDS INTEGRATIVE MED. ASSOC.
Practice address
6769 Lake Woodlands Dr Ste E
The Woodlands, TX 77382-2771
Phone
(281) 419-0076
Fax
(281) 419-0136
NPI assigned
Apr 6, 2007
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Christin Lumpkin, D.C
Title
Owner
Phone
(281) 419-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC9081 TX Primary

Addresses

Primary practice location

6769 Lake Woodlands Dr Ste E
The Woodlands, TX 77382-2771

Mailing address

6769 Lake Woodlands Dr Ste E
The Woodlands, TX 77382-2771
Phone (281) 419-0076

Other identifiers 2

IdentifierTypeStateIssuer
608168OtherTXBLUE CROSS BLUE SHIELD
7454496OtherTXAETNA HEALTHCARE

National Provider Directory

National Provider Directory
Tax ID family
Advanced Integrative Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1477676534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 LAKE WOODLANDS DR STE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822771",
            "telephone_number": "281-419-0076",
            "fax_number": "281-419-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 LAKE WOODLANDS DR STE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822771",
            "telephone_number": "281-419-0076",
            "fax_number": "281-419-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS INTEGRATIVE MED. ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-419-0076",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "608168",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7454496",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.