Organization Active NPI

Source & Sphere, PLLC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1487216826
Registry record updated Jul 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOURCE & SPHERE, PLLC
Practice address
3104 Edloe St Ste 310
Houston, TX 77027-6038
Phone
(281) 740-9225
Fax
(281) 715-5317
NPI assigned
Jul 6, 2019
Last updated
Jul 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2019

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

Authorized official

Name
Dr. Danielle Cockburn, DCNPI 1710370168
Title
Doctor
Phone
(281) 740-9225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3104 Edloe St Ste 310
Houston, TX 77027-6038

Mailing address

23561 Hickory Dr
Porter, TX 77365-5217

National Provider Directory

National Provider Directory

Locations

3104 Edloe St
Ste 310
Houston, TX 77027
Phone (281) 740-9225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562371200000",
    "number": "1487216826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23561 HICKORY DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 EDLOE ST STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276038",
            "telephone_number": "281-740-9225",
            "fax_number": "281-715-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE & SPHERE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-06",
        "last_updated": "2019-07-06",
        "status": "A",
        "authorized_official_last_name": "COCKBURN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-740-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Jul 6, 2019; 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.