Individual provider Active NPI

Moriam Adigun, DC, MS, MED

  • Sports Physician Chiropractor
  • Houston, TX
National Provider Identifier
1487219101
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
13818 Issued in TX
Practice address
747 N Shepherd Dr
Houston, TX 77007-1335
Phone
(713) 320-2450
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 13818 TX Primary

Addresses

Primary practice location

747 N Shepherd Dr
Houston, TX 77007-1335

Mailing address

PO Box 980122
Houston, TX 77098-0122
Phone (832) 584-3834

Other names 1

  • Dr. Seun Adigun Professional name

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
13818TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1487219101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770980122",
            "telephone_number": "832-584-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071335",
            "telephone_number": "713-320-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIGUN",
        "first_name": "MORIAM",
        "name_prefix": "Dr.",
        "credential": "DC, MS, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "13818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEUN",
            "last_name": "ADIGUN",
            "prefix": "DR.",
            "credential": "D.C., M.S., M.ED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 18, 2020; 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.